Individual
MICHAEL VIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4315 NE 10TH AVE, PORTLAND, OR 97211-4563
(505) 699-3532
Mailing address
4315 NE 10TH AVE, PORTLAND, OR 97211-4563
(505) 699-3532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7158
OR
101YP2500X
Professional Counselor
R5057
OR
Other
Enumeration date
06/23/2022
Last updated
12/09/2022
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