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Individual

CARLOS VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2102 BUSINESS CENTER DR UNIT 203, IRVINE, CA 92612-1001
(714) 464-6685
Mailing address
835 AMIGOS WAY APT 12, NEWPORT BEACH, CA 92660-4571
(949) 456-9215

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSB94027753
CA

Other

Enumeration date
09/15/2023
Last updated
09/15/2023
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