Emily Ann Vicioso is a Counselor based in Marina, CA. Emily Ann Vicioso practices in Marina, CA. The NPI Number for Emily Ann Vicioso is 1841418753 and holds a License No. (California).
The current practice location address for Emily Ann Vicioso is 299 12Th St, Marina, CA and can be reached out via phone at 831-647-7652.
Location: 299 12Th St, Marina, CA, 93933-6003
Provider Profile Details
NPI Number
1841418753
Provider Name
Emily Ann Vicioso
Credential
Provider Entity Type
Individual
Gender
Female
Address
299 12Th St, Marina, CA, 93933-6003
Phone Number
831-647-7652
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B7565610 | 01 | CA | DRIVER'S LICENSE |
| 27BW8 | 01 | CA | MEDI-CAL PRV NBR |
| 44CF | 01 | CA | MEDI-CAL PRV NBR |
Provider Business Practice Location Address Details
Address
299 12Th St
City
State
Zip
93933-6003
Phone Number
831-647-7652
Fax Number
Provider Business Mailing Address Details
Address
299 12Th St
City
State
Zip
93933-6003
Phone Number
831-647-7652
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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.
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