MS. KATHY MARINEE VILLELA RADT NPI 1588178354

NPI Information

NPI: 1588178354
Provider Name: MS. KATHY MARINEE VILLELA, RADT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA
ZIP 92115
Phone: (619) 597-7335
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MS. Kathy Marinee Villela, RADT is an addiction (substance use disorder) counselor in San Diego, CA. MS. Kathy Marinee Villela, RADT NPI is 1588178354. 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:

4660 EL CAJON BLVD STE 210
SAN DIEGO, CA
ZIP 92115-466
Phone: (619) 597-7335

The enumeration date for this NPI number is 11/30/2017 and was last updated on 11/30/2017.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B6461422	OTHER	CALIFORNIA	STATE ID

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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