Individual
MR. PAUL B VILLAESCUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MGR, QMHA
Contact information
Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 574-5960
(541) 265-0601
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 574-5960
(541) 265-0601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A16656
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326549270
—
OR
Enumeration date
02/26/2018
Last updated
12/05/2025
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