KRISTOPHER GLENN VILLANUEVA

FRESNO, CA
NPI1174084438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
KRISTOPHER GLENN VILLANUEVA
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
Mailing Address
KRISTOPHER GLENN VILLANUEVA
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
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