Individual provider · Type 1 NPI
Vikki Bouck, LCSW
Mental Health Counselor · La Mesa, CA
NPI number
1790142875
Active
Practice location
3665 Avocado Village Ct, Unit 165
La Mesa, CA 91941-7375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 23706 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1790142875
Vikki Bouck, LCSW's National Provider Identifier is 1790142875, issued on Jan 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Mesa, CA. The record was last updated on Jan 20, 2016.