Mrs. Jorge Luis Vidarte
Mrs. Jorge Luis Vidarte is a Mental Health Counselor in San Carlos, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
772 Walnut St Apt 3San Carlos, CA 94070-3144
Phone: (650) 554-0856
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1619644234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2021 |
| Last updated in NPPES | August 23, 2021 |
| Certification date | August 23, 2021 |
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