Individual
ALISON GUADALUPE VIDAURRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2550 E FOOTHILL BLVD FL 2, PASADENA, CA 91107-3406
(626) 254-5000
Mailing address
PO BOX 6406, ALHAMBRA, CA 91802-6406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
102519
CA
106H00000X
Marriage & Family Therapist
Primary
131605
CA
Other
Enumeration date
01/25/2018
Last updated
03/25/2022
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