Individual provider · Type 1 NPI

Carlos Jr. Vargas

Professional Counselor · Covina, CA

NPI number 1639619661 Active

Practice location

540 S Eremland Dr
Covina, CA 91723-3186

Mailing address

15645 Monica Ct
Fontana, CA 92336-8739

Other practice locations

  • 15645 Monica Ct, Fontana, CA 92336-8739 · (909) 997-4651

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X9877-R (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500XAPCC10705 (CA)

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About NPI 1639619661

Carlos Jr. Vargas's National Provider Identifier is 1639619661, issued on Feb 23, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Covina, CA. The record was last updated on Jan 11, 2022.