Individual
JESSICA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 W 40TH ST FL 1, BAYONNE, NJ 07002-3002
(201) 779-1424
Mailing address
30 W 40TH ST FL 1, BAYONNE, NJ 07002-3002
(201) 779-1424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00944000
NJ
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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