Individual
OMAR A VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LED, LSP
Contact information
Practice address
29 RITO GUICU, SANTA FE, NM 87507-4321
(505) 235-4002
(505) 473-9409
Mailing address
29 RITO GUICU, SANTA FE, NM 87507-4321
(505) 235-4002
(505) 473-9409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0123991
NM
101YP2500X
Professional Counselor
123991
NM
103TS0200X
School Psychologist
375345
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64972526
—
NM
Enumeration date
05/24/2007
Last updated
01/09/2025
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