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Individual
JAVIER VEGA ORTIZ
Active
Individual
JAVIER VEGA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-I, CRM-II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-02-11009
OR
175T00000X
Peer Specialist
24-CRM-II-0199
OR
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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