Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Athena Leeann Wildenborg, T-23-2498

Individual provider Counselor · NPI 1326812488

Athena Leeann Wildenborg, T-23-2498 is a Counselor in Roseville, California. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
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Practice location Address checks out

200 La Loma Ct
Roseville, CA 95678-2908
Phone: (360) 214-4102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence T-23-2498 (OR)

Record details

NPI number1326812488
Entity typeIndividual (Type 1)
GenderFemale
Credentials T-23-2498
Sole proprietorYes
NPI enumeratedNovember 9, 2023
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

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