Individual
ANN VANDE VEGTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3602 KENORA DR, SPRING VALLEY, CA 91977-2926
(619) 467-7412
(619) 467-7413
Mailing address
3602 KENORA DR, SPRING VALLEY, CA 91977-2926
(619) 467-7412
(619) 467-7413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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