person
Viridiana Penaloza
Mental Health Counselor in Gold Beach, Oregon
NPI 1699247403

Viridiana Penaloza is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Viridiana Penaloza practices in Gold Beach, OR. The NPI Number for Viridiana Penaloza is 1699247403 and holds a License No. (Oregon).

The current practice location address for Viridiana Penaloza is 29413 Russell St, Gold Beach, OR and can be reached out via phone at 541-247-6566 and via fax at 541-247-6549.

Location: 29413 Russell St, Gold Beach, OR, 97504-4004
person
Provider Profile Details
NPI Number
1699247403
Provider Name
Viridiana Penaloza
Credential
Provider Entity Type
Individual
Gender
Female
Address
29413 Russell St, Gold Beach, OR, 97504-4004
Phone Number
541-247-6566
Fax Number
541-247-6549
Provider Enumeration Date
12/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29413 Russell St
City
State
Zip
97444-7748
Phone Number
541-247-6566
Fax Number
541-247-6549
person
Provider Business Mailing Address Details
Address
29413 Russell St
City
State
Zip
97444-7748
Phone Number
541-247-6566
Fax Number
541-247-6549
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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