Athena Leeann Wildenborg, T-23-2498 - Roseville, CA

Athena Leeann Wildenborg, T-23-2498

Counselor in Roseville, California

NPI 1326812488

Athena Leeann Wildenborg is a Counselor based in Portland, CA. Athena Leeann Wildenborg practices in Roseville, CA and has the professional credentials of T-23-2498. The NPI Number for Athena Leeann Wildenborg is 1326812488 and holds a License No. T-23-2498 (California).

The current practice location address for Athena Leeann Wildenborg is 200 La Loma Ct, Roseville, CA and can be reached out via phone at 360-214-4102.

Location: 200 La Loma Ct, Roseville, CA, 97230-2082

NPI Number

1326812488

Provider Name

Athena Leeann Wildenborg

Credential

T-23-2498

Provider Entity Type

Individual

Gender

Female

Address

200 La Loma Ct, Roseville, CA, 97230-2082

Phone Number

360-214-4102

Fax Number

Provider Enumeration Date

11/09/2023

Last Update Date

03/10/2024

Address

200 La Loma Ct

City

Roseville

State

California

Zip

95678-2908

Phone Number

360-214-4102

Fax Number

Address

200 La Loma Ct

City

Roseville

State

California

Zip

95678-2908

Phone Number

360-214-4102

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

T-23-2498 (Oregon)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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