MS. STEPHANIE LYNN VIZCAINO
NPI 1215147640
Counselor - Addiction (Substance Use Disorder) in San Leandro, CA
Active since May 23, 2007
About Ms. Stephanie Lynn Vizcaino NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STEPHANIE LYNN VIZCAINO (NPI 1215147640) is an individual addiction (substance use disorder) provider in San Leandro, California and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1215147640
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. STEPHANIE LYNN VIZCAINO
Location Address1417 THRUSH AVESan Leandro, CA 94578-2063
Mailing Address1417 Thrush AveSan Leandro, CA 94578-2063 · (510) 317-4791
Phone(510) 317-4791
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215147640 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1417 THRUSH AVE, San Leandro, CA 94578
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215147640, enumerated as an "individual" on May 23, 2007.
The provider is located at 1417 THRUSH AVE SAN LEANDRO, CA 94578 and the phone number is (510) 317-4791.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
