Maryah Villavicencio, | |
307 S B St, San Mateo, CA 94401-4053 | |
(626) 765-5145 | |
Not Available |
Full Name | Maryah Villavicencio |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 307 S B St, San Mateo, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982359824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Maryah Villavicencio, 14223 Galega Ct, Beaumont, CA 92223-6313 Ph: () - | Maryah Villavicencio, 307 S B St, San Mateo, CA 94401-4053 Ph: (626) 765-5145 |
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Lisa Kearns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402 Phone: 650-349-7969 Fax: 650-349-1103 | |
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