Individual provider · Type 1 NPI

Keith Hardrick Vielle, SUDCC 6465

Addiction (Substance Use Disorder) Counselor · Cerritos, CA

NPI number 1114101763 Active

Practice location

17707 Studebaker Rd
Cerritos, CA 90703-2640

Call (562) 402-0677 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X104185 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114101763

Keith Hardrick Vielle, SUDCC 6465's National Provider Identifier is 1114101763, issued on Dec 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cerritos, CA. The record was last updated on May 20, 2025.