Individual
KERMIT VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 CAMBRIDGE ST, APT 2, LAWRENCE, MA 01843-2310
(978) 390-9830
Mailing address
73 CAMBRIDGE ST, APT 2, LAWRENCE, MA 01843-2310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
S30292652
MA
101YM0800X
Mental Health Counselor
S30292652
MA
103T00000X
Psychologist
S30292652
MA
104100000X
Social Worker
Primary
S30292652
MA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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