Vonnie Raeleen Adams
Individual provider Active NPI Counselor · El Centro, CA
NPI 1962055459 · NPPES record last updated Jul 23, 2019
Key facts
- NPI
- 1962055459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 495 E Orange Ave
El Centro, CA 92243-2744 - Phone
- (760) 353-6151
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
495 E Orange Ave
El Centro, CA 92243-2744
Mailing address
495 E Orange Ave
El Centro, CA 92243-2744
Phone (760) 353-6151
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2019. 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.