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Mr. Edgard Eduardo Villa JR.
Mental Health Counselor in Riverside, California
NPI 1407203854

Edgard Eduardo Villa JR. is a Mental Health Counselor based in Crestline, CA and is specialized in Mental Health. Edgard Eduardo Villa JR. practices in Riverside, CA. The NPI Number for Edgard Eduardo Villa JR. is 1407203854 and holds a License No. (California).

The current practice location address for Edgard Eduardo Villa JR. is 2743 Orange St, Riverside, CA and can be reached out via phone at 951-788-9515.

Location: 2743 Orange St, Riverside, CA, 92325-1268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407203854
Provider Name
Edgard Eduardo Villa JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2743 Orange St, Riverside, CA, 92325-1268
Phone Number
951-788-9515
Fax Number
Provider Enumeration Date
05/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2743 Orange St
City
Riverside
State
California
Zip
92501-2538
Phone Number
951-788-9515
Fax Number
person
Provider Business Mailing Address Details
Address
2743 Orange St
City
Riverside
State
California
Zip
92501-2538
Phone Number
951-788-9515
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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