Vianey Durazo
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Holtville, CA
NPI 1619213345 · NPPES record last updated May 20, 2022
Key facts
- NPI
- 1619213345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1337 Barbara Worth Dr
Holtville, CA 92250-9602 - Phone
- (760) 791-7065
- NPI assigned
- Dec 28, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118521 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes | ||
| Marriage & Family Therapist | 106H00000X | 118521 | CA |
Addresses
Primary practice location
1337 Barbara Worth Dr
Holtville, CA 92250-9602
Mailing address
1337 Barbara Worth Dr
Holtville, CA 92250-9602
Phone (760) 791-7065
Other providers in Holtville, CA
- Christian James Beaver
- Jazlyn Bedolla
- Ana Karen Cano
- Abril Castaneda
- Gayle A. Cheatwood
- Yvonne Flores
- Forte Child Services Inc.
- Dora Fuentes
- Gabia Ambrocio, Counseling Services, LLC
- Amanda Ellen Garcia
All providers in Holtville, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.