CARMEN M VITAL

SAN JOSE, CA
NPI1083745061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
Mrs. CARMEN M VITAL
2425 ENBORG LN
SAN JOSE, CA 95128-2648
Phone number: 408-885-5400
Mailing Address
Mrs. CARMEN M VITAL
1306 COTTERELL DR
SAN JOSE, CA 95121-2518
Phone number: 408-885-5400
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