Individual
ANITA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2772 S MARTIN L KING JR BLVD, FRESNO, CA 93706-5345
(559) 265-4800
Mailing address
2772 S MARTIN L KING JR BLVD, FRESNO, CA 93706-5345
(559) 265-4800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16620-RAC
CA
Other
Enumeration date
07/10/2023
Last updated
09/12/2023
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