Provider Demographics
NPI:1871317651
Name:VILLARREAL, CHRISTOPHER HECTOR
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HECTOR
Last Name:VILLARREAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93701-1513
Mailing Address - Country:US
Mailing Address - Phone:559-360-3155
Mailing Address - Fax:
Practice Address - Street 1:439 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-1513
Practice Address - Country:US
Practice Address - Phone:559-360-3155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)