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Individual

ROBERTO CARLOS VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
926 ASYLUM AVE APT 206, HARTFORD, CT 06105-2402
(860) 990-3887
Mailing address
926 ASYLUM AVE APT 206, HARTFORD, CT 06105-2402
(860) 990-3887

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CT
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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