Individual
CAROLINE MARIE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 W PETERSON AVE, CHICAGO, IL 60659-4019
(312) 953-0731
Mailing address
2551 W PETERSON AVE, CHICAGO, IL 60659-4019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
36804
IL
1041C0700X
Clinical Social Worker
Primary
149.026189
IL
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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