Individual
DR. RAMON VEGA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
(860) 527-1124
Mailing address
25 CHRISTMAS TREE HL, CANTON, CT 06019-2127
(209) 484-8045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003520
CT
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245324516
—
CT
Enumeration date
02/01/2016
Last updated
03/08/2019
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