Coleby Richard Villasenor
Coleby Richard Villasenor is a Mental Health Counselor in Milwaukie, Oregon. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
6605 SE Lake RdMilwaukie, OR 97222-2161
Phone: (503) 655-8471
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1063902732 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2018 |
| Last updated in NPPES | May 7, 2024 |
| Certification date | March 1, 2024 |
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