Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabeth Ryan Vidovich, LVN

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033543731

Elizabeth Ryan Vidovich, LVN is an Addiction (Substance Use Disorder) Counselor in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
3
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

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Practice location Address checks out

2540 Forest Ave
San Jose, CA 95117-1117
Phone: (408) 642-5039
Fax: (408) 642-5039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence VN230370 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)
Licensed Psychiatric Technician Taxonomy 167G00000X · Licence VN203070 (CA)

Record details

NPI number1033543731
Entity typeIndividual (Type 1)
GenderFemale
Credentials LVN
Sole proprietorYes
NPI enumeratedAugust 29, 2013
Last updated in NPPESAugust 29, 2013

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