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NPI Code Detail

MEDICARE: JOHN VILLAROMAN LCSW

MEDICARE:   JOHN  VILLAROMAN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS 22426CA

General Provider Information

NPI Number : 1376828251
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN VILLAROMAN LCSW
Provider Business Mailing Address
First Line : 7521 WISCONSIN DR
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-7433
Country : US
Telephone Number : 916-230-8903
Fax Number :
Provider Business Practice Location Address
First Line : 7521 WISCONSIN DR
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-7433
Country : US
Telephone Number : 916-230-8903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2011
Last Update Date : 06/03/2022

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