Individual
ISMAEL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5326
(248) 436-4400
Mailing address
9262 FOREST LN STE 101, DALLAS, TX 75243-6286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
82110
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/19/2019
Last updated
06/19/2024
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