Individual
MR. JESUS MANUEL VEGA-CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
3 COTTAGE PL, NEW ROCHELLE, NY 10801-4201
(914) 235-6633
Mailing address
1920 WASHINGTON AVE APT 209, BRONX, NY 10457-4307
(917) 645-8073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7851
—
NY
Enumeration date
07/26/2022
Last updated
07/26/2022
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