MS. MAXINE LUZ VILLAVICENCIO PULLIAM


Address: 22 Crockett, Irvine, CA 92620-3331
Phone: 6502452516

MS. MAXINE LUZ VILLAVICENCIO PULLIAM (NPI# 1376876490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376876490
Entity Type Individual
Full Name MS. MAXINE LUZ VILLAVICENCIO PULLIAM
Practice Address 22 Crockett
Irvine
CA 92620-3331
Mailing Address 22 Crockett
Irvine
CA 92620-9262
Practice Telephone 6502452516
Mailing Telephone 6502452516
Enumeration Date 2009-09-08
Last Update Date 2009-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 22 CROCKETT
City IRVINE
State CA
Zip Code 92620-3331

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1619224524 Nancy Patricia Hernandez Counselor 5 Slocum, Irvine, CA 92620 2012-08-09
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083258537 Traci A Patterson Counselor 2082 Michelson Dr Ste 212, Irvine, CA 92612-1213 2019-10-28
1023597283 Nadia Abou-seda Counselor 2101 Business Center Dr, Irvine, CA 92612-1021 2018-08-08
1992255707 Zarina Jadwet Counselor 1 League Unit 60592, Irvine, CA 92602-7026 2016-10-05
1548676059 Laurie Erin Tate Counselor 10 Silverwood, Irvine, CA 92604-2845 2014-07-03
1508206517 Maria Isabel Olivas Counselor 24 Bear Paw, #54a, Irvine, CA 92604-7117 2013-07-05
1932430675 Pamela Tobias Counselor 2555 Main St Apt 2053, Irvine, CA 92614-3200 2010-01-20
1932746864 Korean Community Services Inc. Counselor 19742 Macarthur Blvd Ste 245, Irvine, CA 92612-2488 2019-12-10
1306325022 Amanda Jean Andersen Counselor 17744 Sky Park Cir, Irvine, CA 92614-6421 2018-08-13
1518335017 Eima Mesgarha Counselor 2102 Business Center Dr, Irvine, CA 92612-1001 2015-09-14
1659500569 Orange County Health & Psychology Associates Counselor 4482 Barranca Pkwy, 130, Irvine, CA 92604-7701 2009-07-13
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Competitor

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City IRVINE
Zip Code 92620

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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