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Theodore Villavicencio, MD
NPI 1366496366 · on the registry since 2006
Practice
- Address
- 10791 Kitty Dr
Suite A
Conifer, CO 80433 - Phone
- (303) 838-4686
- Fax
- (303) 816-4905
- Organisation at this address
- Therapy Mosaic Llc
Therapy Mosaic Llc
Conifer Play Therapy, Llc
Conifer Play Therapy, Llc
Elevated Pathways CounselingInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado