Villa Juarez, Lesly Guadalupe

Villa Juarez, Lesly Guadalupe is an individual health care provider with primary practice located at 2523 El Portal Dr Ste 201 , San Pablo CA 94806-3305. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Villa Juarez, Lesly Guadalupe can be contacted via phone (510) 439-3130.

Contact Information

Primary practice address
2523 El Portal Dr Ste 201 San Pablo CA 94806-3305
Phone: (510) 439-3130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1518606904
LBN Legal business name Villa Juarez, Lesly Guadalupe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2022
Last updated Aug 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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