Individual
FATIMA MICAELA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 W SHAW AVE # 107, FRESNO, CA 93711-3229
(559) 476-2115
Mailing address
2416 W SHAW AVE STE 114, FRESNO, CA 93711-3303
(559) 248-8550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC4811
CA
Other
Enumeration date
12/18/2015
Last updated
07/19/2023
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