Individual
EDDIEMAY FOX VIODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 WATT AVE STE 110, SACRAMENTO, CA 95821-2622
(916) 344-0249
Mailing address
3800 WATT AVE STE 110, SACRAMENTO, CA 95821-2622
(916) 344-0249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
ACSW102958
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/25/2019
Last updated
08/17/2021
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