Individual
CRISTIAN VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
570 LEE ST, PERTH AMBOY, NJ 08861-3053
(732) 442-1666
Mailing address
570 LEE ST, PERTH AMBOY, NJ 08861-3053
(732) 442-1666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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