Carletta Renee Vicain IMF

NPI 1023187275 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1023187275
Gender Female
Enumeration Date 11/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 MICHIGAN AVE
VISTA CA, 92084-5424, US
Phone (760) 726-4900
Fax (760) 631-0778
Business Location
200 MICHIGAN AVE
VISTA CA, 92084-5424, US
Phone (760) 726-4900
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number IMF40145
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According to our database, Carletta Renee Vicain IMF NPI is 1023187275, taxonomy code is 106H00000X and license number is IMF40145, license state is located at California. Carletta Renee Vicain IMF physically located at 200 Michigan Ave, Vista CA, 92084-5424. NPI Number Carletta Renee Vicain IMF has the Individual type.

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1023187275 NPI number is provided on an as is basis without warranty of any kind. 1023187275 is maintained by the National Plan & Provider Enumeration System. The contents of Carletta Renee Vicain IMF are for informational purposes only.