Provider Demographics
NPI:1487878922
Name:VILLALOBOS, MELISSA ESTELA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ESTELA
Last Name:VILLALOBOS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-1058
Mailing Address - Country:US
Mailing Address - Phone:831-818-6463
Mailing Address - Fax:
Practice Address - Street 1:320 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-1058
Practice Address - Country:US
Practice Address - Phone:831-818-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA889031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical