Provider Demographics
NPI:1598532798
Name:BUHAGIAR, VINCENT (LMFT)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:BUHAGIAR
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 CLAYTON RD STE 203
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-2732
Mailing Address - Country:US
Mailing Address - Phone:339-337-3729
Mailing Address - Fax:
Practice Address - Street 1:3125 CLAYTON RD STE 203
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2732
Practice Address - Country:US
Practice Address - Phone:339-337-3729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126503101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health