# DE LA VEGA COUNSELING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649990870
- **Authorized official:** KIMBERLY C DE LA VEGA LMFT 125331 (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (909) 477-7005

## Contact information

- **Practice address:** 14181 YORBA ST STE 206, TUSTIN, CA 92780-2055
- **Practice address phone:** (190) 947-7700
- **Mailing address:** PO BOX 1176, WHITTIER, CA 90609-1176
- **Mailing address phone:** (909) 477-7005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 04/22/2025