Doctor Name: | VANESSA OROZCO VILLANUEVA |
NPI Number: | 1144580457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFTI |
License Number: | 85282 |
Business Practice Address: | 11731 Telegraph Rd Ste G Santa Fe Springs, CA - 906706819 |
Business Phone Number: | 5629428256 |
Business Fax Number: | |
Mailing Address: | 9457 Bonavista Ln, WHITTIER |
State: | CA |
Postal Code: | 906031911 |
Phone Number: | 5626655882 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2012 |
NPI Last Update Date: | 03/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 85282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |