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1083726236
KRISTINE A VILLANUEVA
SALEM, OR
NPI
1083726236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 2633)
Enumeration Date
2006-08-31
Last Update Date
2016-03-01
Business Address
-- KRISTINE A VILLANUEVA LCSW
4035 12TH ST. CUT OFF SE SUITE 140
SALEM, OR 97302
Phone number: 503-999-5971
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Mailing Address
-- KRISTINE A VILLANUEVA LCSW
2695 12TH PL SE
SALEM, OR 97302-2537
Phone number: 503-999-5971
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