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Mr. Lyman Lee Bolo Villaraza
Counselor in Daly City, California
NPI 1699957829

Lyman Lee Bolo Villaraza is a Counselor based in Daly City, CA. Lyman Lee Bolo Villaraza practices in Daly City, CA. The NPI Number for Lyman Lee Bolo Villaraza is 1699957829 and holds a License No. (California).

The current practice location address for Lyman Lee Bolo Villaraza is 59 Northridge Drive, Daly City, CA and can be reached out via phone at 510-295-9911.

Location: 59 Northridge Drive, Daly City, CA, 94015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699957829
Provider Name
Lyman Lee Bolo Villaraza
Credential
Provider Entity Type
Individual
Gender
Male
Address
59 Northridge Drive, Daly City, CA, 94015
Phone Number
510-295-9911
Fax Number
Provider Enumeration Date
11/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
59 Northridge Drive
City
Daly City
State
California
Zip
94015-4608
Phone Number
510-295-9911
Fax Number
person
Provider Business Mailing Address Details
Address
59 Northridge Drive
City
Daly City
State
California
Zip
94015-4608
Phone Number
510-295-9911
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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