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NPI Code Detail

MEDICARE: VIENA VAI VAKA LMFT

MEDICARE:   VIENA VAI VAKA  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist151893CA

General Provider Information

NPI Number : 1114302528
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIENA VAI VAKA LMFT
Provider Business Mailing Address
First Line : PO BOX 65
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94064-0065
Country : US
Telephone Number : 650-503-3995
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 65
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94064-0065
Country : US
Telephone Number : 650-503-3995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2015
Last Update Date : 05/20/2025

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Directions to “ VIENA VAI VAKA LMFT” Practice Location

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