Ismael Vidrio II, SUDRC #18885
NPI #1730910696 in La Mirada, California
Provider Information
- NPI Number
- 1730910696
- Entity Type
- Individual
- Name
- Ismael Vidrio II, SUDRC #18885
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDRC #18885
- Enumeration Date
- Aug 12, 2024
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 13106 WOODRIDGE AVE
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-1755
- Phone
- (562) 455-5251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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