Provider Demographics
NPI:1740674613
Name:VILLEGAS, TERRI ANNE (BS, NLC #105216)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:ANNE
Last Name:VILLEGAS
Suffix:
Gender:F
Credentials:BS, NLC #105216
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:ANNE
Other - Last Name:KIRCHGESTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3615 TACKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-1639
Mailing Address - Country:US
Mailing Address - Phone:719-360-3993
Mailing Address - Fax:
Practice Address - Street 1:3615 TACKWOOD DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-1639
Practice Address - Country:US
Practice Address - Phone:719-360-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor