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Marcos Eliseo Chacon Villanueva
Health Service Psychologist in Covina, California
NPI 1194504498

Marcos Eliseo Chacon Villanueva is a Health Service Psychologist based in Covina, CA and is specialized in Health Service. Marcos Eliseo Chacon Villanueva practices in Covina, CA. The NPI Number for Marcos Eliseo Chacon Villanueva is 1194504498 and holds a License No. CPT-02271594 (California).

The current practice location address for Marcos Eliseo Chacon Villanueva is 200 E Rowland St # 237, Covina, CA and can be reached out via phone at 323-712-1840.

Location: 200 E Rowland St # 237, Covina, CA, 91723-3146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194504498
Provider Name
Marcos Eliseo Chacon Villanueva
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 E Rowland St # 237, Covina, CA, 91723-3146
Phone Number
323-712-1840
Fax Number
Provider Enumeration Date
09/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 E Rowland St # 237
City
Covina
State
California
Zip
91723-3146
Phone Number
323-712-1840
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Rowland St # 237
City
Covina
State
California
Zip
91723-3146
Phone Number
323-712-1840
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
CPT-02271594 (California)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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