Individual
ELIZABETH VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
2000 KAMMERER AVE, SAN JOSE, CA 95116-3016
(408) 889-3491
(408) 293-1000
Mailing address
2787 OTHELLO AVE, SAN JOSE, CA 95122-1322
(510) 789-5289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7257
CA
Other
Enumeration date
10/24/2019
Last updated
05/02/2023
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