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1568777241
MONIQUE VILLASENOR
SAN DIEGO, CA
NPI
1568777241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii5021314)
Enumeration Date
2010-08-18
Last Update Date
2019-11-21
Business Address
MONIQUE VILLASENOR M.S. IMF
7545 METROPOLITAN DR
SAN DIEGO, CA 92108-4402
Phone number: 619-718-9890
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Mailing Address
MONIQUE VILLASENOR M.S. IMF
1105 BROADWAY SUITE 207
CHULA VISTA, CA 91911-2767
Phone number: 619-425-5609
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