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Organization
YOGA JENA WELLNESS LLC
Active
Organization
YOGA JENA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ALISSA VASQUEZ PHD, LCSW-S (OWNER)
(512) 577-2255
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 12078, AUSTIN, TX 78731-4257
(512) 577-2255
Mailing address
5900 BALCONES DR STE 12078, AUSTIN, TX 78731-4257
(512) 577-2255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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