Keith Vidra
Keith Vidra is a Counselor in Ukiah, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
140 Gibson StUkiah, CA 95482-3941
Phone: (707) 468-5536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1861989865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 16, 2018 |
| Last updated in NPPES | April 16, 2018 |
| Mailing address | Po Box 2077, Ukiah, CA 95482-2077 |
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