Individual
CONSUELO S VILLALVILLA
Active
Individual
CONSUELO S VILLALVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007490
CO
101YP2500X
Professional Counselor
Primary
LPC.0005230
CO
Other
Enumeration date
06/19/2007
Last updated
09/15/2014
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