Individual
VERONICA DIEDRA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 W SPRUCE ST STE 100, TAMPA, FL 33607-2346
(813) 636-8811
(813) 636-8855
Mailing address
4107 W SPRUCE ST STE 100, TAMPA, FL 33607-2346
(813) 636-8811
(813) 636-8855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MT4208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113045000
—
FL
Enumeration date
12/13/2021
Last updated
07/14/2022
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