Individual
MS. ALEXIS VILLOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(510) 317-1444
Mailing address
736 CASTELLI CT, FAIRFIELD, CA 94534-4174
(707) 386-6026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
05/11/2023
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