Provider Demographics
NPI:1932637360
Name:VILLAR, ALLISON TURNER (LMFT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:TURNER
Last Name:VILLAR
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 1:79 CHAPMAN RD
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:CT
Mailing Address - Zip Code:06447-1343
Mailing Address - Country:US
Mailing Address - Phone:949-697-1707
Mailing Address - Fax:
Practice Address - Street 1:9 AUSTIN DR STE 111
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1375
Practice Address - Country:US
Practice Address - Phone:860-734-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT106H00000X
CT2389106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004040564Medicaid