EDGAR ANTONIO VILLA

CERRITOS, CA
NPI1053608570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  61051)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  28065)
Enumeration Date2011-07-05
Last Update Date2016-12-13
Business Address
-- EDGAR ANTONIO VILLA LCSW
400 E. LA HABRA BLVD LA HABRA
CERRITOS, CA 90703-2640
Phone number: 562-691-3263
Mailing Address
-- EDGAR ANTONIO VILLA LCSW
400 E LA HABRA BLVD
LA HABRA, CA 90631-5525
Phone number: 714-589-9228