| Wellness Consultant | |
|
1264 N Chalan Canton Tasi Yona GU 96915-4644 | |
| (671) 777-3764 | |
| (671) 472-5450 |
| Full Name | Wellness Consultant |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1264 N Chalan Canton Tasi, Yona, Guam |
| Authorized Official Name and Position | Lisa Villanueva Baza (THERAPIST) |
| Authorized Official Contact | 6717773764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Consultant 1264 N Chalan Canton Tasi Yona GU 96915-4644 Ph: (671) 777-3764 | Wellness Consultant 1264 N Chalan Canton Tasi Yona GU 96915-4644 Ph: (671) 777-3764 |
| NPI Number | 1750725115 |
|---|---|
| Provider Enumeration Date | 04/28/2013 |
| Last Update Date | 04/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750725115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMF-76 (Guam) | Primary |
News Archive
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