Individual provider · Type 1 NPI

Gustavo Villalta

Professional Counselor · Austin, TX

NPI number 1871991265 Active

Practice location

7701 N Lamar Blvd, Suite 206
Austin, TX 78752-1000

Call (512) 649-2270 Map

Fax (512) 727-0476

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X69565 (TX)

Professional Counselor: Definition to come...

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About NPI 1871991265

Gustavo Villalta's National Provider Identifier is 1871991265, issued on Dec 17, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Dec 17, 2014.