Individual
MRS. ANGELA YOLANDA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., M.A.
Contact information
Practice address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 494-6628
Mailing address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 494-6628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
123018
CA
Other
Enumeration date
10/07/2010
Last updated
11/20/2020
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