MISS JUANA ISABEL VILLAR-GOMEZ LICSW CDP NPI 1255653689

NPI Information

NPI: 1255653689
Provider Name: MISS JUANA ISABEL VILLAR-GOMEZ, LICSW, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5007 CLAREMONT WAY
EVERETT, WA
ZIP 98203
Phone: (425) 605-5505
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MISS Juana Isabel Villar-gomez, LICSW, CDP is an addiction (substance use disorder) counselor in Everett, WA. MISS Juana Isabel Villar-gomez, LICSW, CDP NPI is 1255653689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5007 CLAREMONT WAY
EVERETT, WA
ZIP 98203-321
Phone: (425) 605-5505
Fax: (425) 609-5506

The enumeration date for this NPI number is 2/26/2010 and was last updated on 2/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		079803	NEW YORK	No
2	1041C0700X	Social Worker	Clinical	LW60484946	WASHINGTON	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	20908	NEW YORK	No
4	1041S0200X	Social Worker	School	LW60484946	WASHINGTON	No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60483694	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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