PRIZILA VIDAL, MPSS-LIADFM

Contractor

Active Individual
NPI: 1043795164

Practice Address

415 LAUREL ST PMB 531
San Diego, CA 92101

Phone: (619) 755-4737

Specialties

Specialty Code Primary License
Health & Wellness Coach 171400000X No DB365140CB (CA)
Contractor 171W00000X Yes -
Counselor - Mental Health 101YM0800X No 24-QMHS-I-0008 (CA)
Community Health Worker 172V00000X No -
Peer Specialist 175T00000X No -

Frequently Asked Questions

NPI 1043795164 is the National Provider Identifier for PRIZILA VIDAL, MPSS-LIADFM, a Contractor provider located in San Diego, CA. This NPI was enumerated on September 25, 2018.
PRIZILA VIDAL, MPSS-LIADFM practices at 415 LAUREL ST PMB 531, San Diego, CA 92101.

Quick Facts

NPI
1043795164
Type
Individual
Enumerated
Sep 25, 2018
Last Updated
Dec 25, 2025

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