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Provider Information for 1942815006


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YOLANDA ROCHELLE VILLA


Sex: Female

NPI: 1942815006
Last Updated: 2020-09-14
Certification Date: 2020-09-14

Details

NameValue
NPI1942815006
Enumeration Date2020-09-14
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6942 TYLERSVILLE RD
WEST CHESTER, OH 45069-1511
United States

Phone: 513-795-7557 | Fax:
 
Primary Practice Address 6942 TYLERSVILLE RD
WEST CHESTER, OH 45069-1511
United States

Phone: 513-795-7557 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor