Provider Demographics
NPI:1255576757
Name:VARGAS, NOE (LPC)
Entity type:Individual
Prefix:DR
First Name:NOE
Middle Name:
Last Name:VARGAS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6232 N 7TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-1839
Mailing Address - Country:US
Mailing Address - Phone:623-313-6831
Mailing Address - Fax:602-265-1482
Practice Address - Street 1:6232 N 7TH ST STE 204
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-1852
Practice Address - Country:US
Practice Address - Phone:623-313-6831
Practice Address - Fax:602-265-1482
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2021-04-23
Deactivation Date:2013-04-12
Deactivation Code:
Reactivation Date:2015-03-03
Provider Licenses
StateLicense IDTaxonomies
AZLPC 13420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional