Individual provider · Type 1 NPI
Vanessa Vidales Quintana
Mental Health Counselor · Phoenix, AZ
NPI number
1649690553
Active
Practice location
3826 W Beryl Ave
Phoenix, AZ 85051-1138
Other practice locations
- 1950 S Sunwest Ln, San Bernardino, CA 92408-3258 · (909) 252-4010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LMFT15910 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1649690553
Vanessa Vidales Quintana's National Provider Identifier is 1649690553, issued on Apr 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 10, 2025.