Provider Demographics
NPI:1437183498
Name:VILLAMIL, CATRIEN H (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CATRIEN
Middle Name:H
Last Name:VILLAMIL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 EUCLID ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-4619
Mailing Address - Country:US
Mailing Address - Phone:310-396-9008
Mailing Address - Fax:310-396-9008
Practice Address - Street 1:441 S BEVERLY DR STE 11
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4427
Practice Address - Country:US
Practice Address - Phone:310-201-0949
Practice Address - Fax:310-396-9008
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health