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1063014785
THEO VILLALOBOS
SAN DIEGO, CA
NPI
1063014785
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 122367)
Enumeration Date
2020-11-09
Last Update Date
2024-07-22
Business Address
THEO VILLALOBOS LMFT
3298 GOVERNOR DR UNIT 22057
SAN DIEGO, CA 92192-5004
Phone number: 408-646-8813
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Mailing Address
THEO VILLALOBOS LMFT
3298 GOVERNOR DR UNIT 22057
SAN DIEGO, CA 92192-5004
Phone number: 408-646-8813
Copy
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