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Graciela R Willoughby, ADTS3
Mental Health Counselor in Fillmore, California
NPI 1699096206

Graciela R Willoughby is a Mental Health Counselor based in Fillmore, CA and is specialized in Mental Health. Graciela R Willoughby practices in Fillmore, CA and has the professional credentials of ADTS3. The NPI Number for Graciela R Willoughby is 1699096206 and holds a License No. (California).

The current practice location address for Graciela R Willoughby is 828 W Ventura St, Fillmore, CA and can be reached out via phone at 805-520-9639.

Location: 828 W Ventura St, Fillmore, CA, 93015-1039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699096206
Provider Name
Graciela R Willoughby
Credential
ADTS3
Provider Entity Type
Individual
Gender
Female
Address
828 W Ventura St, Fillmore, CA, 93015-1039
Phone Number
805-520-9639
Fax Number
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174400000X 01 CA OTHER
institution
Provider Business Practice Location Address Details
Address
828 W Ventura St
City
Fillmore
State
California
Zip
93015-1876
Phone Number
805-520-9639
Fax Number
person
Provider Business Mailing Address Details
Address
828 W Ventura St
City
Fillmore
State
California
Zip
93015-1876
Phone Number
805-520-9639
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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