Individual provider · Type 1 NPI

Samuel Victor Heilenbach

Mental Health Counselor · Wilsonville, OR

NPI number 1194553214 Active

Practice location

29549 SW Villebois Dr S
Wilsonville, OR 97070-7329

Call (503) 427-0172 Map

Fax (503) 427-0798

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194553214

Samuel Victor Heilenbach's National Provider Identifier is 1194553214, issued on Jul 22, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilsonville, OR. The record was last updated on Jul 22, 2024.