Individual
BRETT VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
604 E BROAD ST, WESTFIELD, NJ 07090-2118
(678) 232-9944
Mailing address
604 E BROAD ST, WESTFIELD, NJ 07090-2118
(678) 232-9944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00496500
NJ
101YP2500X
Professional Counselor
LPC006143
GA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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