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Individual

KELLIE VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, NCC, BC-TMH, LPC

Contact information

Practice address
2323 S TROY ST STE 3-107, AURORA, CO 80014-1982
(314) 541-6256
Mailing address
6327 COVENTRY DR, FLORISSANT, MO 63033-7914
(904) 750-1229

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2015002771
MO
101YP2500X
Professional Counselor
CC8420
ME
101YP2500X
Professional Counselor
Primary
LPC.0013572
CO
101YP2500X
Professional Counselor
MH21532
FL
101YS0200X
School Counselor
MO
374J00000X
Doula

Other

Enumeration date
08/26/2016
Last updated
10/14/2025
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