ENA IVETT MEJIA VIDRIO
NPI 1639874589
Counselor - Addiction (Substance Use Disorder) in Santa Cruz, CA
Active since March 31, 2023
About Ena Ivett Mejia Vidrio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENA IVETT MEJIA VIDRIO (NPI 1639874589) is an individual addiction (substance use disorder) provider in Santa Cruz, California, licensed in California (16408-RAC) and active in the NPI registry since March 2023.
NPPES Registry Identity
NPI1639874589
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameENA IVETT MEJIA VIDRIO
Location Address707 FAIR AVESanta Cruz, CA 95060-5828
Mailing Address707 Fair AveSanta Cruz, CA 95060-5828 · (831) 427-1007
Phone(831) 427-1007
Sole ProprietorNo
Enumeration DateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1639874589 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
License✔ Licensed in CA · 16408-RAC
707 FAIR AVE, Santa Cruz, CA 95060
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
SANTA CRUZ, CA 95060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639874589, enumerated as an "individual" on March 31, 2023.
The provider is located at 707 FAIR AVE SANTA CRUZ, CA 95060 and the phone number is (831) 427-1007.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
