MICHELLE VIDANA

SAN DIEGO, CA
NPI1093156671
Former NameMICHELLE LU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
(Licence: CA  5686)
101YP2500X Counselor, Professional
(Licence: CA  5686)
Enumeration Date2013-07-11
Last Update Date2018-12-11
Business Address
MICHELLE VIDANA Lpcc
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110-3844
Phone number: 619-276-8113
Mailing Address
MICHELLE VIDANA Lpcc
9666 BUSINESSPARK AVE STE 207
SAN DIEGO, CA 92131-1646
Phone number: 858-367-0525