Individual
PRIZILA DAJIA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPSS-LIADFM
Contact information
Practice address
415 LAUREL ST PMB 531, SAN DIEGO, CA 92101
(619) 755-4737
Mailing address
415 LAUREL ST, SAN DIEGO, CA 92101-1605
(619) 755-4737
Taxonomy
Speciality
Code
Description
License number
State
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
175T00000X
Peer Specialist
—
CA
Other
Enumeration date
09/25/2018
Last updated
12/25/2025
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