Provider Demographics
NPI:1619496593
Name:VIDALES RAMIREZ, MARGARITA
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:VIDALES RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:
Other - Last Name:VIDALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:152 DENNIS AVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93905-2911
Mailing Address - Country:US
Mailing Address - Phone:831-905-3313
Mailing Address - Fax:
Practice Address - Street 1:130 W. GABILAN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905
Practice Address - Country:US
Practice Address - Phone:831-758-0181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor