Individual provider · Type 1 NPI

Evedarda Melissa Vizcarra

Mental Health Counselor · San Bruno, CA

NPI number 1093935579 Active

Practice location

841 San Bruno Ave W Rm 1
San Bruno, CA 94066-3437

Call (415) 375-7629 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093935579

Evedarda Melissa Vizcarra's National Provider Identifier is 1093935579, issued on Apr 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bruno, CA. The record was last updated on Jul 9, 2015.