Individual
MS. LILIAN ELIZABETH RECINOS-VIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 BREWSTER AVE, REDWOOD CITY, CA 94063-1510
(650) 556-6841
Mailing address
802 BREWSTER AVE, REDWOOD CITY, CA 94063-1510
(650) 556-6841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2012
Last updated
09/02/2025
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