Leticia T. Vidales in Ventura - Marriage & Family Therapist
Leticia T. Vidales - NPI 1730203282
Leticia T. Vidales is a Marriage & Family Therapist in Ventura, California. Leticia T. Vidales practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Leticia T. Vidales is 1730203282. The last update date is 2012-02-06.
Leticia T. Vidales's current location address is 5500 Telegraph Rd Ste 175, Ventura, California. You can contact this provider via phone number 8056582105 and fax number 8056171831. The mailing address for Leticia T. Vidales is 5500 Telegraph Rd Ste 175, Ventura, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leticia T. Vidales |
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Address | 5500 Telegraph Rd Ste 175, Ventura, California |
Phone Number | 8056582105 |
Fax Number | 8056171831 |
Sole Proprietor | Y |
Credentials | MA, MFT |
NPI Number Detail
NPI Number | 1730203282 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2012-02-06 |
Provider Mailing Address Detail
Address | 5500 Telegraph Rd Ste 175 |
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City | Ventura |
State | California (CA) |
Post Code | 930034251 |
Phone Number | 8056582105 |
Fax Number | 8056171831 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | 47119 |
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique provider identifier assigned to Leticia T. Vidales?
The Leticia T. Vidales has been issued the NPI (National Provider Identifier) 1730203282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Leticia T. Vidales's facilities are geographically located?
The facilities of Leticia T. Vidales are physically situated at the following location: 5500 Telegraph Rd Ste 175, Ventura, CA, 930034251.
What is the Leticia T. Vidales's specialty and taxonomy code?
The Leticia T. Vidales's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730203282 to Leticia T. Vidales?
The Leticia T. Vidales received its 1730203282 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date were the details related to Leticia T. Vidales most recently updated or revised?
The information pertaining to Leticia T. Vidales, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-06.
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