Individual
DR. ROBERTO ANDRE VAZQUEZ SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
26 WESMARK CT, SUMTER, SC 29150-1996
(803) 883-4981
(803) 883-5492
Mailing address
3760 PATRIOT PKWY APT 2K, SUMTER, SC 29154-9807
(839) 287-3068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11505
SC
Other
Enumeration date
01/27/2020
Last updated
11/24/2025
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