Individual provider · Type 1 NPI

Raven Vega, APC, NCC

Mental Health Counselor · Atlanta, GA

NPI number 1609375617 Active

Practice location

1708 Peachtree St NW Ste 425
Atlanta, GA 30309-7020

Mailing address

2500 Shallowford Rd NE Apt 4323
Atlanta, GA 30345-1225

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XAPC008017 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1609375617

Raven Vega, APC, NCC's National Provider Identifier is 1609375617, issued on Feb 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Jul 14, 2021.