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Individual
PETRA VEGA
Active
Individual
PETRA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
101291
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
101291
NY
101YM0800X
Mental Health Counselor
Primary
101291
NY
101YP2500X
Professional Counselor
101291
NY
101YS0200X
School Counselor
101291
NY
104100000X
Social Worker
101291
NY
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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