Individual provider · Type 1 NPI
Ena Ivett Mejia Vidrio
Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA
NPI number
1639874589
Active
Practice location
707 Fair Ave
Santa Cruz, CA 95060-5828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16408-RAC (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639874589
Ena Ivett Mejia Vidrio's National Provider Identifier is 1639874589, issued on Mar 31, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Mar 31, 2023.