Villicana, Angelica

Villicana, Angelica is an individual health care provider with primary practice located at 1320 S. Solano , Las Cruces NM 88001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Villicana, Angelica can be contacted via phone (575) 527-7900.

Contact Information

Primary practice address
1320 S. Solano Las Cruces NM 88001
Phone: (575) 527-7900
Fax: (575) 571-4872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X M-06894 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-08104 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1-08104 New Mexico

Profile Details

NPI number 1861628323
LBN Legal business name Villicana, Angelica
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Mar 10th, 2014 - about 12 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1861628323 NPPES
New Mexico MEDICAID 18677037

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