Individual
ENEIDA VILELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 E CENTRAL AVE, BISMARCK, ND 58501-2066
(701) 323-5626
Mailing address
1303 E CENTRAL AVE, BISMARCK, ND 58501-2066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1047-2-1-20A
ND
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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