Healthcare Provider Details

I. General information

NPI: 1851914741
Provider Name (Legal Business Name): VICKIE AVILA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 W GABILAN ST STE 2
SALINAS CA
93901-2723
US

IV. Provider business mailing address

9 W GABILAN ST STE 2
SALINAS CA
93901-2723
US

V. Phone/Fax

Practice location:
  • Phone: 831-272-6644
  • Fax:
Mailing address:
  • Phone: 831-272-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number131967
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: