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NPI Code Detail

MEDICARE: MRS. SANDY ERICA VELA

MEDICARE: MRS. SANDY ERICA VELA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1467657098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDY ERICA VELA
Provider Business Mailing Address
First Line : 12 W BEACH ST
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-4504
Country : US
Telephone Number : 831-763-8990
Fax Number : 831-763-8591
Provider Business Practice Location Address
First Line : 12 W BEACH ST
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-4504
Country : US
Telephone Number : 831-763-8990
Fax Number : 831-763-8591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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