Individual
ANGELICA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1202 MORENA BLVD, SAN DIEGO, CA 92110-3841
(619) 398-3261
Mailing address
1202 MORENA BLVD STE 203, SAN DIEGO, CA 92110-3843
(619) 398-3261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
07/21/2022
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