| Vega Diagnostic & Consulting Services, Llc | |
|
29 Rito Guicu Santa Fe NM 87507-4321 | |
| (505) 235-4002 | |
| Not Available |
| Full Name | Vega Diagnostic & Consulting Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 29 Rito Guicu, Santa Fe, New Mexico |
| Authorized Official Name and Position | Sun Vega (MANAGING PARTNER) |
| Authorized Official Contact | 5052354002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vega Diagnostic & Consulting Services, Llc 29 Rito Guicu Santa Fe NM 87507-4321 Ph: () - | Vega Diagnostic & Consulting Services, Llc 29 Rito Guicu Santa Fe NM 87507-4321 Ph: (505) 235-4002 |
| NPI Number | 1003337247 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 06/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003337247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0123991 (New Mexico) | Primary |
| 103TS0200X | Psychologist - School | 375345 (New Mexico) | Secondary |
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