Provider Demographics
NPI:1457852485
Name:VILLEGAS, MARIA GUADALULPE (LMFT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:GUADALULPE
Last Name:VILLEGAS
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 1:10722 ARROW RTE STE 314
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4811
Mailing Address - Country:US
Mailing Address - Phone:909-484-8888
Mailing Address - Fax:909-581-0920
Practice Address - Street 1:10722 ARROW RTE STE 314
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4811
Practice Address - Country:US
Practice Address - Phone:909-484-8888
Practice Address - Fax:909-581-0920
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104577106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist