Individual
LISA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
293 WILSON ST, MANCHESTER, NH 03103-5021
(603) 668-4111
(603) 628-7757
Mailing address
2 WALL ST, SUITE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
(603) 628-7757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/06/2012
Last updated
10/08/2018
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