Individual
MISS CELESTE VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
621 W 1ST ST, TUSTIN, CA 92780-2950
(714) 665-9890
Mailing address
661 W 1ST ST STE G, TUSTIN, CA 92780-2939
(714) 665-9890
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW115482
CA
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
03/13/2026
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