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Brenda Vega

Counselor in Berwyn, IL. Individual provider (NPI-1).

NPI number1164085122
StatusActive
Last updated in NPPESApr 16, 2019

Details

NPI
1164085122
Entity type
Individual (NPI-1)
Name
Brenda Vega
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 16, 2019
Last updated
Apr 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

6918 W Windsor Ave
Berwyn, IL 60402-3334

Phone 708-745-5277 · Fax 708-795-4834

Mailing address

6918 W Windsor Ave
Berwyn, IL 60402-3334

Phone 708-745-5277 · Fax 708-795-4834

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