Individual provider · Type 1 NPI

Viridiana Penaloza

Mental Health Counselor · Gold Beach, OR

NPI number 1699247403 Active

Practice location

29413 Russell St
Gold Beach, OR 97444-7748

Call (541) 247-6566 Map

Fax (541) 247-6549

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 1699247403

Viridiana Penaloza's National Provider Identifier is 1699247403, issued on Dec 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gold Beach, OR. The record was last updated on Apr 15, 2020.