Individual
MR. JOSE IGNACIO VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4209 CANAL ST STE 202, NEW ORLEANS, LA 70119-5942
(504) 272-7035
(504) 814-6047
Mailing address
5534 PRATT DR, NEW ORLEANS, LA 70122-2643
(908) 227-5171
(985) 781-4319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10043
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2406850
—
LA
Enumeration date
04/16/2013
Last updated
09/28/2022
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