Individual
CARLOS VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6355 RIVERSIDE AVE, RIVERSIDE, CA 92506-3163
(951) 369-5714
Mailing address
983 NOTTINGHAM DR, CORONA, CA 92880-7304
(951) 737-5352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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