MR. Jose Manuel Vidrio JR.

NPI #1417252792 in Bell, California

Provider Information

NPI Number: 1417252792
Entity Type: Individual
Name: MR. Jose Manuel Vidrio JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 19, 2011
Last Updated: Jan 19, 2011

Practice Location

Address: 6323 FLORA AVE
Address 2: APT. C
City: Bell
State: California
ZIP Code: 90201-1250
Phone: (323) 620-9553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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