Individual provider · Type 1 NPI

Keith Vidra

Counselor · Ukiah, CA

NPI number 1861989865 Active

Practice location

140 Gibson St
Ukiah, CA 95482-3941

Call (707) 468-5536 Map

Mailing address

PO Box 2077
Ukiah, CA 95482-2077

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1861989865

Keith Vidra's National Provider Identifier is 1861989865, issued on Apr 16, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ukiah, CA. The record was last updated on Apr 16, 2018.