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Organization
VIDA COUNSELING SERVICES
Active
Organization
VIDA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS RESENDEZ JR. M.A. (OWNER)
(951) 220-8607
Entity
Organization
Contact information
Practice address
2900 ADAMS ST STE B30-16, RIVERSIDE, CA 92504-8311
(951) 220-8607
(951) 220-8607
Mailing address
2900 ADAMS ST STE B30-16, RIVERSIDE, CA 92504-8311
(951) 220-8607
(951) 220-8607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT86942
CA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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