Individual
VANITY VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 MYANO LN, STAMFORD, CT 06902-4532
(203) 883-8135
Mailing address
70 LAUREL CT, BRIDGEPORT, CT 06605-1128
(475) 449-8144
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004334
CT
Other
Enumeration date
06/24/2022
Last updated
09/21/2024
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