Individual provider · Type 1 NPI
Micheal Villanueva
Mental Health Counselor · Mary Esther, FL
NPI number
1649629833
Active
Practice location
124 East, Miracle Strip Parkway, Suite 602
Mary Esther, FL 32569-1991
Fax (850) 243-8529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH14108 |
Mental Health Counselor: Definition to come...
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About NPI 1649629833
Micheal Villanueva's National Provider Identifier is 1649629833, issued on Jun 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mary Esther, FL. The record was last updated on Aug 19, 2016.