Individual
MS. ANITA ELENA VEGA-VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 COURAGE DRIVE #418, FAIRFIELD, CA 94533
(707) 784-8503
Mailing address
2101 COURAGE DR # 418, FAIRFIELD, CA 94533-6717
(707) 784-8503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
06/22/2016
Last updated
06/02/2025
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