Individual provider · Type 1 NPI
Ismael Vidrio Ii, SUDRC #18885
Addiction (Substance Use Disorder) Counselor · La Mirada, CA
NPI number
1730910696
Active
Practice location
13106 Woodridge Ave
La Mirada, CA 90638-1755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18885 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730910696
Ismael Vidrio Ii, SUDRC #18885's National Provider Identifier is 1730910696, issued on Aug 12, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Mirada, CA. The record was last updated on Aug 12, 2024.