TIMOTHY EDWARD VILLA

LOS ANGELES, CA
NPI1295527331
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-05-22
Last Update Date2025-05-22
Business Address
TIMOTHY EDWARD VILLA
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 650-455-1664
Mailing Address
TIMOTHY EDWARD VILLA
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 650-455-1664