Mr. Keith Hardrick Vielle, SUDCC6465
Mr. Keith Hardrick Vielle, SUDCC6465 is a Community Health Worker in Cerritos, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
17707 Studebaker RdCerritos, CA 90703-2640
Phone: (562) 402-0677
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 104185 (CA) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
| Day Training/Habilitation Specialist | Taxonomy 373H00000X |
Record details
| NPI number | 1114101763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDCC6465 |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2007 |
| Last updated in NPPES | May 20, 2025 |
| Certification date | May 20, 2025 |
Other providers in Cerritos
-
Jennifer Nunez
17707 Studebaker Rd, Cerritos, CA 90703-2640 · (562) 402-0688
-
Cynthia Quevedo
17707 Studebaker Rd, Cerritos, CA 90703-2640 · (562) 402-0688
-
Norma Ramirez
17707 Studebaker Rd, Cerritos, CA 90703-2640 · (562) 860-0024
-
Alicia Rodriguez
17707 Studebaker Rd, Cerritos, CA 90703-2640 · (562) 402-0688