Individual provider · Type 1 NPI

Kristine A. Villanueva, LCSW

Mental Health Counselor · Salem, OR

NPI number 1083726236 Active

Practice location

4035 12th St. Cut Off SE, Suite 140
Salem, OR 97302

Call (503) 999-5971 Map

Fax (503) 391-7422

Mailing address

2695 12th Pl SE
Salem, OR 97302-2537

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2633 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1083726236

Kristine A. Villanueva, LCSW's National Provider Identifier is 1083726236, issued on Aug 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Mar 1, 2016.