Mario De La Vega
NPI #1083448062 in Berkeley, California
Provider Information
- NPI Number
- 1083448062
- Entity Type
- Individual
- Name
- Mario De La Vega
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Aug 30, 2024
- Last Updated
- May 12, 2025
Practice Location
- Address
- 3099 TELEGRAPH AVE
- City
- Berkeley
- State
- California
- ZIP Code
- 94705-2035
- Phone
- (818) 692-6358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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