Individual provider · Type 1 NPI
Theo Villalobos, LMFT
Mental Health Counselor · San Diego, CA
NPI number
1063014785
Active
Practice location
3298 Governor Dr Unit 22057
San Diego, CA 92192-5004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 122367 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1063014785
Theo Villalobos, LMFT's National Provider Identifier is 1063014785, issued on Nov 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 22, 2024.