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Individual
ERNESTO VAZQUEZ
Active
Individual
ERNESTO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II, QMHA I, RBT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
OR
101YM0800X
Mental Health Counselor
24-QMHA-I-00436
OR
106S00000X
Behavior Technician
IN-10227061
OR
Other
Enumeration date
09/29/2022
Last updated
06/24/2026
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