Ivan Villasenor
Ivan Villasenor is an Addiction (Substance Use Disorder) Counselor in Pasadena, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1230 N Marengo AvePasadena, CA 91103-2217
Phone: (626) 797-1124
Fax: (626) 398-9674
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1053080564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 8, 2021 |
| Last updated in NPPES | September 8, 2021 |
| Certification date | September 8, 2021 |
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