Individual
JESSICA VILLEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 E HILLIARD LN, EUGENE, OR 97404-3222
(458) 209-1229
Mailing address
105 E HILLIARD LN, EUGENE, OR 97404-3222
(458) 209-1229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8294
OR
Other
Enumeration date
03/29/2016
Last updated
04/16/2020
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