Provider Information for 1801930953
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KAREN S VILLARREAL LMSW, LCDC
Sex: Female
NPI: 1801930953
Last Updated: 2023-08-30
Certification Date: 2023-08-29
Certification Date: 2023-08-29
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801930953 | ||||||||||||
| Enumeration Date | 2007-02-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 748465 ATLANTA, GA 30374-8465 United States Phone: 855-284-7748 | Fax: | ||||||||||||
| Primary Practice Address | 1201 LAKE WOODLANDS DR STE 4009 THE WOODLANDS, TX 77380-5000 United States Phone: 855-284-7748 | Fax: | ||||||||||||
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