Individual
ANISSA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E WILLOW AVE, WHEATON, IL 60187-5426
(630) 784-4801
Mailing address
222 E WILLOW AVE, WHEATON, IL 60187-5426
(773) 680-3633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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