Individual
ANA LAURA VILLAGRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-8633
(310) 396-6468
Mailing address
204 HAMPTON DR, VENICE, CA 90291-8633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101003
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2019
Last updated
04/10/2021
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