Ismael Vidrio II, SUDRC18885
Ismael Vidrio II, SUDRC18885 is an Addiction (Substance Use Disorder) Counselor in LA Mirada, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
13106 Woodridge AveLA Mirada, CA 90638-1755
Phone: (562) 455-5251
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 18885 (CA) |
|---|
Record details
| NPI number | 1730910696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDRC18885 |
| Sole proprietor | No |
| NPI enumerated | August 12, 2024 |
| Last updated in NPPES | August 12, 2024 |
| Certification date | August 12, 2024 |
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