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Individual
PRIZILA DAJIA VIDAL
Active
Individual
PRIZILA DAJIA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPSS-LIADFM
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23070
CA
101YM0800X
Mental Health Counselor
24-QMHS-I-0008
CA
171400000X
Health & Wellness Coach
DB365140CB
CA
171W00000X
Contractor
Primary
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
MPSS-LIADFM
CA
3747P1801X
Personal Care Attendant
7506073033
CA
376J00000X
Homemaker
—
—
Other
Enumeration date
09/25/2018
Last updated
05/30/2026
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