Individual provider · Type 1 NPI
Jorge Octavio Villella Iii
Professional Counselor · Northport, NY
NPI number
1992042766
Active
Practice location
1 Trescott Path
Northport, NY 11768-2535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 121894 (NY) |
Professional Counselor: Definition to come...
About NPI 1992042766
Jorge Octavio Villella Iii's National Provider Identifier is 1992042766, issued on Jan 13, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Northport, NY. The record was last updated on Jan 13, 2013.