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NPI Code Detail

MEDICARE: CAMILLE SUN VEGA

MEDICARE: CAMILLE SUN VEGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1720316870
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE SUN VEGA
Provider Business Mailing Address
First Line : 1665 OLD HOT SPRINGS RD
Second Line : STE 157
City : CARSON CITY
State : NV
Zip : 89706-0782
Country : US
Telephone Number : 775-687-5162
Fax Number :
Provider Business Practice Location Address
First Line : 3595 US HIGHWAY 50
Second Line : SUITE 3
City : SILVER SPRINGS
State : NV
Zip : 89429-9613
Country : US
Telephone Number : 775-577-0319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2009
Last Update Date : 06/04/2012

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Directions to “ CAMILLE SUN VEGA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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