Timothy Edward Villa
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1295527331
StatusActive
Last updated in NPPESMay 22, 2025
Details
- NPI
- 1295527331
- Entity type
- Individual (NPI-1)
- Name
- Timothy Edward Villa
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2025
- Certification date
- May 22, 2025
- Last updated
- May 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
8831 Venice BlvdLos Angeles, CA 90034-3223
Phone 650-455-1664
Mailing address
8831 Venice BlvdLos Angeles, CA 90034-3223
Phone 650-455-1664
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