Madison Villanueva, LPC, NCC
Counselor, Professional in Fort Worth, TX. Individual provider (NPI-1).
NPI number1144934100
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1144934100
- Entity type
- Individual (NPI-1)
- Name
- Madison Villanueva
- Credential
- LPC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2023
- Certification date
- Jan 9, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
3200 Riverfront Dr Ste 108Fort Worth, TX 76107-6560
Phone 817-887-9505
Mailing address
3200 Riverfront Dr Ste 108Fort Worth, TX 76107-6560
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