SearchNew Mexico171100000X

Dominic Villanueva, DOM

NPI 1891124475 · on the registry since 2013 · sole proprietor

Practice

Address
6303 4th St Nw
Ste 9
Los Ranchos, NM 87107
Phone
(505) 554-8049
Organisation at this address
Spark Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-05

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 New Mexico