MRS. LISA ANN VILDOSOLA
NPI 1891907432
Counselor - Addiction (Substance Use Disorder) in Redlands, CA
Active since May 04, 2007
802 W COLTON AVE, SUITE C, REDLANDS, CA 92374(909) 335-2989(909) 335-1701 Get Directions Write a Review
About Mrs. Lisa Ann Vildosola NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LISA ANN VILDOSOLA (NPI 1891907432) is an individual addiction (substance use disorder) provider in Redlands, California, licensed in California (112248) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1891907432
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LISA ANN VILDOSOLA
Location Address802 W COLTON AVE, SUITE CRedlands, CA 92374-2905
Mailing Address802 W Colton Ave Ste CRedlands, CA 92374-2905 · (909) 335-2989 · Fax (909) 335-1701
Phone(909) 335-2989
Fax(909) 335-1701
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 11, 2011
✔ NPI 1891907432 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 · 112248
802 W COLTON AVE, Redlands, CA 92374
Other Providers at the Same Location NPPES 3
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 1891907432, enumerated as an "individual" on May 04, 2007.
The provider is located at 802 W COLTON AVE SUITE C REDLANDS, CA 92374 and the phone number is (909) 335-2989.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
