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Luis De La Vega
Counselor in San Diego, California
NPI 1871897157

Luis De La Vega is a Counselor based in San Diego, CA. Luis De La Vega practices in San Diego, CA. The NPI Number for Luis De La Vega is 1871897157 and holds a License No. (California).

The current practice location address for Luis De La Vega is 2535 Kettner Blvd Ste 1A4, San Diego, CA and can be reached out via phone at 619-615-0701.

Location: 2535 Kettner Blvd Ste 1A4, San Diego, CA, 92101-1252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871897157
Provider Name
Luis De La Vega
Credential
Provider Entity Type
Individual
Gender
Male
Address
2535 Kettner Blvd Ste 1A4, San Diego, CA, 92101-1252
Phone Number
619-615-0701
Fax Number
Provider Enumeration Date
12/31/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2535 Kettner Blvd Ste 1A4
City
San Diego
State
California
Zip
92101-1252
Phone Number
619-615-0701
Fax Number
person
Provider Business Mailing Address Details
Address
2535 Kettner Blvd Ste 1A4
City
San Diego
State
California
Zip
92101-1252
Phone Number
619-615-0701
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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