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Vicki Kodad
Mental Health Counselor in Moreno Valley, California
NPI 1023292158

Vicki Kodad is a Mental Health Counselor based in Moreno Valley, CA and is specialized in Mental Health. Vicki Kodad practices in Moreno Valley, CA. The NPI Number for Vicki Kodad is 1023292158 and holds a License No. CAADE051086 (California).

The current practice location address for Vicki Kodad is 12712 Heacock St, Moreno Valley, CA and can be reached out via phone at 951-243-5576.

Location: 12712 Heacock St, Moreno Valley, CA, 92553-3037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023292158
Provider Name
Vicki Kodad
Credential
Provider Entity Type
Individual
Gender
Female
Address
12712 Heacock St, Moreno Valley, CA, 92553-3037
Phone Number
951-243-5576
Fax Number
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12712 Heacock St
City
Moreno Valley
State
California
Zip
92553-3037
Phone Number
951-243-5576
Fax Number
person
Provider Business Mailing Address Details
Address
12712 Heacock St
City
Moreno Valley
State
California
Zip
92553-3037
Phone Number
951-243-5576
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
101YM0800X (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CAADE051086 (California)
Definition
Definition to come...
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