Individual
GISELA M VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 E PACIFIC COAST HWY # 1010, LONG BEACH, CA 90806-5102
(610) 732-7672
Mailing address
1124 E PACIFIC COAST HWY # 1010, LONG BEACH, CA 90806-5102
(610) 732-7672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
32944
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2018
Last updated
11/09/2021
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