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Ms. Maxine Luz Villavicencio Pulliam
Counselor in Irvine, California
NPI 1376876490

Maxine Luz Villavicencio Pulliam is a Counselor based in Irvine, CA. Maxine Luz Villavicencio Pulliam practices in Irvine, CA. The NPI Number for Maxine Luz Villavicencio Pulliam is 1376876490 and holds a License No. (California).

The current practice location address for Maxine Luz Villavicencio Pulliam is 22 Crockett, Irvine, CA and can be reached out via phone at 650-245-2516. You can also correspond with Maxine Luz Villavicencio Pulliam through the mailing address at 22 CROCKETT, IRVINE, CA - 92620-9262 (mailing address contact number: 650-245-2516).

Location: 22 Crockett, Irvine, CA, 92620-9262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376876490
Provider Name
Maxine Luz Villavicencio Pulliam
Credential
Provider Entity Type
Individual
Gender
Female
Address
22 Crockett, Irvine, CA, 92620-9262
Phone Number
650-245-2516
Fax Number
Provider Enumeration Date
09/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22 Crockett
City
Irvine
State
California
Zip
92620-3331
Phone Number
650-245-2516
Fax Number
person
Provider Business Mailing Address Details
Address
22 Crockett
City
Irvine
State
California
Zip
92620-9262
Phone Number
650-245-2516
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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