Emily Ann Vicioso
NPI #1841418753 in Marina, California
Provider Information
- NPI Number
- 1841418753
- Entity Type
- Individual
- Name
- Emily Ann Vicioso
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Sep 12, 2016
Practice Location
- Address
- 299 12TH ST
- Address 2
- SUITE A
- City
- Marina
- State
- California
- ZIP Code
- 93933-6003
- Phone
- (831) 647-7652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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