MEDICARE: KRISZTIAN VEGVARI LMHC, LPC, NCC, CADC

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
1	101YM0800X	Mental Health Counselor	10467990-6004	UT
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	09-12-75U3	OR
3	101YM0800X	Mental Health Counselor	LH60118011	WA
4	101YM0800X	Mental Health Counselor	22244	OR
5	101YM0800X	Mental Health Counselor	MH15923	FL

General Provider Information

NPI Number	:	1790082865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISZTIAN VEGVARI LMHC, LPC, NCC, CADC

Provider Business Mailing Address
First Line	:	8668 NAVARRE PKWY UNIT 309
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-2185
Country	:	US
Telephone Number	:	850-710-3848
Fax Number	:

Provider Business Practice Location Address
First Line	:	8155 NAVARRE PKWY
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-6941
Country	:	US
Telephone Number	:	850-710-3848
Fax Number	:	833-781-1104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	05/20/2021

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