| Doctor Name: | VALVINCENT ABANILLA REYES |
| NPI Number: | 1184681975 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BCD, LCSW |
| License Number: | LCS11138 |
| Business Practice Address: | Usa Meddac Dr. Mary E. Walker Center Building 170 Fort Irwin, CA - 92310 |
| Business Phone Number: | 7603803631 |
| Business Fax Number: | 7603806469 |
| Mailing Address: | 23031 Petroleum Ave, TORRANCE |
| State: | CA |
| Postal Code: | 905022831 |
| Phone Number: | 3104187227 |
| Fax Number: | 3105393545 |
| NPI Enumeration Date: | 04/27/2006 |
| NPI Last Update Date: | 03/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS11138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |