Provider Demographics
NPI:1669663191
Name:VILLEGAS, MONICA LYDIA (MSW)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:LYDIA
Last Name:VILLEGAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 S ALMA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-2412
Mailing Address - Country:US
Mailing Address - Phone:213-694-0045
Mailing Address - Fax:
Practice Address - Street 1:231 S ALMA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-2412
Practice Address - Country:US
Practice Address - Phone:213-694-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAACSW19583101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health