Individual
GUSTAVO VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRC, CATC-IV
Contact information
Practice address
1011 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3567
(619) 701-3211
Mailing address
1011 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3567
(619) 701-3211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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