Provider Demographics
NPI:1508237397
Name:VILLEGAS, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:VILLEGAS
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 1:19701 HAMILTON AVE STE 160
Mailing Address - Street 2:COUNSELING4KIDS SUITE 160
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1313
Mailing Address - Country:US
Mailing Address - Phone:310-817-2177
Mailing Address - Fax:310-817-2178
Practice Address - Street 1:19701 HAMILTON AVE STE 160
Practice Address - Street 2:COUNSELING4KIDS SUITE 160
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1313
Practice Address - Country:US
Practice Address - Phone:310-817-2177
Practice Address - Fax:310-817-2178
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator