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Mrs. Jorge Luis Vidarte
Mental Health Counselor in San Carlos, California
NPI 1619644234

Jorge Luis Vidarte is a Mental Health Counselor based in San Carlos, CA and is specialized in Mental Health. Jorge Luis Vidarte practices in San Carlos, CA. The NPI Number for Jorge Luis Vidarte is 1619644234 and holds a License No. (California).

The current practice location address for Jorge Luis Vidarte is 772 Walnut St Apt 3, San Carlos, CA and can be reached out via phone at 650-554-0856.

Location: 772 Walnut St Apt 3, San Carlos, CA, 94070-3144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619644234
Provider Name
Jorge Luis Vidarte
Credential
Provider Entity Type
Individual
Gender
Male
Address
772 Walnut St Apt 3, San Carlos, CA, 94070-3144
Phone Number
650-554-0856
Fax Number
Provider Enumeration Date
08/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
772 Walnut St Apt 3
City
San Carlos
State
California
Zip
94070-3144
Phone Number
650-554-0856
Fax Number
person
Provider Business Mailing Address Details
Address
772 Walnut St Apt 3
City
San Carlos
State
California
Zip
94070-3144
Phone Number
650-554-0856
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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