VICKI KODAD

Counselor

Active Individual
NPI: 1023292158

Practice Address

12712 HEACOCK ST
SUITE 6
Moreno Valley, CA 92553

Phone: (951) 243-5576

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes CAADE051086 (CA)
Counselor - Mental Health 101YM0800X No 101YM0800X (CA)

Frequently Asked Questions

NPI 1023292158 is the National Provider Identifier for VICKI KODAD, a Counselor provider located in Moreno Valley, CA. This NPI was enumerated on December 26, 2007.
VICKI KODAD practices at 12712 HEACOCK ST, SUITE 6, Moreno Valley, CA 92553.

Quick Facts

NPI
1023292158
Type
Individual
Enumerated
Dec 26, 2007
Last Updated
Jun 16, 2008

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