Individual
MR. JUAN PABLO VILLALOBOS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS,CRM,CADC-R
Contact information
Practice address
398 NW 183RD AVE # 398, BEAVERTON, OR 97006-3410
(971) 222-6155
Mailing address
398 NW 183RD AVE # 398, BEAVERTON, OR 97006-3410
(971) 222-6155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2785
OR
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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