Individual
ELLEN MARIE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
101 S COPPER ST, DEMING, NM 88030-3610
(575) 590-8886
(575) 546-4362
Mailing address
1311 N GRANT ST STE A, SILVER CITY, NM 88061-5134
(575) 388-1447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0038
NM
Other
Enumeration date
02/04/2025
Last updated
07/30/2025
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