Vicki Kodad
NPI #1023292158 in Moreno Valley, California
Provider Information
- NPI Number
- 1023292158
- Entity Type
- Individual
- Name
- Vicki Kodad
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 12712 HEACOCK ST
- Address 2
- SUITE 6
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-3037
- Phone
- (951) 243-5576
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
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