DARRYL MICHAEL VILLAVICENCIA

SACRAMENTO, CA
NPI1417107749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-09-23
Last Update Date2008-09-23
Business Address
-- DARRYL MICHAEL VILLAVICENCIA
4600 47TH AVE
SACRAMENTO, CA 95824-3923
Phone number: 916-393-1222
Mailing Address
-- DARRYL MICHAEL VILLAVICENCIA
4600 47TH AVE
SACRAMENTO, CA 95824-3923
Phone number: