Individual
MISS IRAIDA L VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
CARR 174, F80, URB. AGUSTIN STAHL, BAYAMON, PR 00956
(787) 884-0883
Mailing address
15 AVE 4, URB. LOS ROSALES III, MANATI, PR 00674
(787) 884-0883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4032
PR
Other
Enumeration date
03/12/2014
Last updated
07/21/2022
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