Individual
DIANE BENAVIDES-WILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
(503) 684-1425
Mailing address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
(503) 684-1425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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