JAEL M VEGA

VENICE, CA
NPI1033621750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT126477)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  IMF102117)
Enumeration Date2017-11-03
Last Update Date2021-08-04
Business Address
JAEL M VEGA
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
Mailing Address
JAEL M VEGA
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468