Provider Demographics
NPI:1194997114
Name:VILLALON, CHER M
Entity type:Individual
Prefix:MS
First Name:CHER
Middle Name:M
Last Name:VILLALON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24384 SUNNYMEAD BL #240
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553
Mailing Address - Country:US
Mailing Address - Phone:951-243-0303
Mailing Address - Fax:951-243-3006
Practice Address - Street 1:24384 SUNNYMEAD BLVD STE 240
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-7765
Practice Address - Country:US
Practice Address - Phone:951-243-0303
Practice Address - Fax:951-243-3006
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)