Individual provider · Type 1 NPI

Jose Luis Vergara

Mental Health Counselor · Vallejo, CA

NPI number 1679775977 Active

Practice location

2201 Tuolumne St
Vallejo, CA 94589-2524

Call (707) 558-1777 Map

Fax (707) 558-1770

Mailing address

164 Lodi Ct
Vallejo, CA 94589-3621

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679775977

Jose Luis Vergara's National Provider Identifier is 1679775977, issued on May 31, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Jul 8, 2007.