Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH VIDRA
ActiveKEITH VIDRA is a Counselor healthcare provider located in UKIAH, California. NPI 1861989865 is currently active in the NPPES registry. Verify at CMS.
Counselor · UKIAH, CA
Registration Details
- NPI Number
- 1861989865
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2018 (8.3508363699296 yrs)
- Last Updated
- Apr 16, 2018
Practice Information
- Address
-
140 GIBSON STUKIAH, CA, 954823941Browse CA providers · Browse ZIP 95482
- Phone
- 7074685536
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in UKIAH, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL E RANUIO | REHAB SPEC | 1235268871 |
| KATHLEEN M MCMINN | REHAB SPEC | 1801924436 |
| ROBERT LESHER | REHAB SPEC | 1548399181 |
| DONNA LEE MATTHEWS | — | 1588794366 |
| CHANDRA DAWN GONSALES | — | 1760509269 |
| KRISTIN L FRITH | REHAB SPEC | 1629191671 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.