Individual
JESSICA EDIT VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 256-2000
(360) 514-2458
Mailing address
4537 SW 96TH AVE, BEAVERTON, OR 97005-3329
(503) 376-9520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61471295
WA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
05/13/2026
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