Individual
ANTONIO VEGA-PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.M.H.C.
Contact information
Practice address
3214 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(407) 518-9161
Mailing address
3214 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(407) 518-9161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH-5594
FL
Other
Enumeration date
01/03/2007
Last updated
04/10/2018
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