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1053562231
VANESSA ILENE VILLE
SANTA ROSA, CA
NPI
1053562231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-10-06
Last Update Date
2008-10-06
Business Address
-- VANESSA ILENE VILLE
144 S E ST STE 200
SANTA ROSA, CA 95404-4794
Phone number: 707-571-5524
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Mailing Address
-- VANESSA ILENE VILLE
1919 JONIVE RD
SEBASTOPOL, CA 95472-9574
Phone number: 707-874-9316
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