Provider Demographics
NPI:1093492605
Name:GABRIEL VEGA COUNSELING, PLLC
Entity Type:Organization
Organization Name:GABRIEL VEGA COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCMHC
Authorized Official - Phone:603-412-2755
Mailing Address - Street 1:PO BOX 2184
Mailing Address - Street 2:
Mailing Address - City:CAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03223-2184
Mailing Address - Country:US
Mailing Address - Phone:603-412-2755
Mailing Address - Fax:
Practice Address - Street 1:11 SOUTHMAYD ST UNIT 2184
Practice Address - Street 2:
Practice Address - City:CAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03223-8008
Practice Address - Country:US
Practice Address - Phone:603-412-2755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health