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General NPI Number Information
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NPI Number | 1265109334
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Entity Type | Individual
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Provider Name | BRENDA VILLAFANA
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Gender | Female
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1820 OAK HILL DR
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City | ESCONDIDO
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State | CA
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Zip | 92027-3731
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Country | US
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Telephone | 760-432-2483
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 ALDERGROVE AVE
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City | ESCONDIDO
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State | CA
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Zip | 92029-1935
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 103490
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 103490
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 210199278
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License Number State | CA
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