Individual
JOHN ANTHONY VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
3584 JEROME AVE, BRONX, NY 10467-1006
(718) 653-1537
(718) 228-6993
Mailing address
1839 LEXINGTON AVE APT 6A, NEW YORK, NY 10029-2020
(646) 942-2167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35285
NY
Other
Enumeration date
08/08/2019
Last updated
08/28/2023
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