Vega, Alex

Vega, Alex is an sole proprietor health care provider with primary practice located at 2520 Line Ave , Shreveport LA 71104-3022. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Vega, Alex can be contacted via phone (318) 313-0475.

Contact Information

Primary practice address
2520 Line Ave Shreveport LA 71104-3022
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4509 Louisiana

Profile Details

NPI number 1659614295
LBN Legal business name Vega, Alex
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2013
Last updated Apr 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659614295 NPPES
Louisiana MEDICAID 1

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