Individual
ANDRES VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
5745 MAIN ST, NEW PORT RICHEY, FL 34652-2737
(813) 458-8831
Mailing address
9340 LAKE CHASE ISLAND WAY, TAMPA, FL 33626-1932
(813) 458-8831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH19338
FL
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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