Provider Demographics
NPI:1093262750
Name:VILLARREAL, ALMA NIDIA
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:NIDIA
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:ARMONA
Mailing Address - State:CA
Mailing Address - Zip Code:93202-0368
Mailing Address - Country:US
Mailing Address - Phone:559-583-5000
Mailing Address - Fax:
Practice Address - Street 1:11115 C ST
Practice Address - Street 2:
Practice Address - City:ARMONA
Practice Address - State:CA
Practice Address - Zip Code:93202-7730
Practice Address - Country:US
Practice Address - Phone:559-583-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
101YM0800X
CA240270805101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health