Kodad, Vicki

Kodad, Vicki is an sole proprietor health care provider with primary practice located at 12712 Heacock St Suite 6, Moreno Valley CA 92553-3037. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Kodad, Vicki can be contacted via phone (951) 243-5576.

Contact Information

Primary practice address
12712 Heacock St Suite 6 Moreno Valley CA 92553-3037
Phone: (951) 243-5576
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CAADE051086 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 101YM0800X California

Profile Details

NPI number 1023292158
LBN Legal business name Kodad, Vicki
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2007
Last updated Jun 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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