Provider Demographics
NPI:1356758783
Name:VEGA, OLGA CRISTINA (MAEDCOUNSELING)
Entity type:Individual
Prefix:MS
First Name:OLGA
Middle Name:CRISTINA
Last Name:VEGA
Suffix:
Gender:F
Credentials:MAEDCOUNSELING
Other - Prefix:
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Mailing Address - Street 1:535 CESAR CHAVEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-2103
Mailing Address - Country:US
Mailing Address - Phone:760-357-6566
Mailing Address - Fax:760-357-0849
Practice Address - Street 1:680 W MAIN ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2920
Practice Address - Country:US
Practice Address - Phone:760-482-0864
Practice Address - Fax:760-482-9185
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)