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Organization
DE LA VEGA COUNSELING SERVICES
Active
Organization
DE LA VEGA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY C DE LA VEGA LMFT 125331 (MARRIAGE AND FAMILY THERAPIST)
(909) 477-7005
Entity
Organization
Contact information
Practice address
14181 YORBA ST STE 206, TUSTIN, CA 92780-2055
(190) 947-7700
Mailing address
PO BOX 1176, WHITTIER, CA 90609-1176
(909) 477-7005
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
08/29/2022
Last updated
04/22/2025
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