Vanessa Vega LCDC

NPI 1043614209 - Counselor - 101YA0400X

NPI Details
NPI 1043614209
Gender Female
Enumeration Date 10/17/2014
Last Updated 10/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1631 E 2ND ST STE A
AUSTIN TX, 78702-4491, US
Phone (512) 804-3380
Fax (512) 472-5857
Business Location
1430 COLLIER ST
AUSTIN TX, 78704-2911, US
Phone (512) 472-4357
Fax (512) 703-1394
Toxanomy
Taxonomy Code 101YA0400X
License State Texas
License Number 12657
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According to our database, Vanessa Vega LCDC NPI is 1043614209, taxonomy code is 101YA0400X and license number is 12657, license state is located at Texas. Vanessa Vega LCDC physically located at 1631 E 2nd St Ste A, Austin TX, 78702-4491. NPI Number Vanessa Vega LCDC has the Individual type.

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1043614209 NPI number is provided on an as is basis without warranty of any kind. 1043614209 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Vega LCDC are for informational purposes only.