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Ena Ivett Mejia Vidrio
Addiction (Substance Use Disorder) Counselor in Santa Cruz, California
NPI 1639874589

Ena Ivett Mejia Vidrio is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). Ena Ivett Mejia Vidrio practices in Santa Cruz, CA. The NPI Number for Ena Ivett Mejia Vidrio is 1639874589 and holds a License No. 16408-RAC (California).

The current practice location address for Ena Ivett Mejia Vidrio is 707 Fair Ave, Santa Cruz, CA and can be reached out via phone at 831-427-1007.

Location: 707 Fair Ave, Santa Cruz, CA, 95060-5828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639874589
Provider Name
Ena Ivett Mejia Vidrio
Credential
Provider Entity Type
Individual
Gender
Female
Address
707 Fair Ave, Santa Cruz, CA, 95060-5828
Phone Number
831-427-1007
Fax Number
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 Fair Ave
City
Santa Cruz
State
California
Zip
95060-5828
Phone Number
831-427-1007
Fax Number
person
Provider Business Mailing Address Details
Address
707 Fair Ave
City
Santa Cruz
State
California
Zip
95060-5828
Phone Number
831-427-1007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16408-RAC (California)
Definition
Definition to come...
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