Provider Demographics
NPI:1619013307
Name:LEALAO, EMILY VILLANUEVA (BA)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:VILLANUEVA
Last Name:LEALAO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:299 12TH ST STE A
Mailing Address - Street 2:MONTEREY COUNTY BEHAVIORAL HEALTH
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-6003
Mailing Address - Country:US
Mailing Address - Phone:831-647-7652
Mailing Address - Fax:831-647-7940
Practice Address - Street 1:299 12TH ST STE A
Practice Address - Street 2:MONTEREY COUNTY BEHAVIORAL HEALTH
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-6003
Practice Address - Country:US
Practice Address - Phone:831-647-7652
Practice Address - Fax:831-647-7940
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator