Individual
MARYSABEL VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
Mailing address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
12155A
NC
106H00000X
Marriage & Family Therapist
Primary
2380
NC
Other
Enumeration date
08/22/2019
Last updated
01/17/2023
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