Individual
DR. JASON VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7065 INDIANA AVE STE 100&110, RIVERSIDE, CA 92506-4167
(760) 647-7676
(760) 347-0909
Mailing address
7065 INDIANA AVE STE 100&110, RIVERSIDE, CA 92506-4167
(760) 647-7676
(760) 347-0909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.008407
IL
103TC1900X
Counseling Psychologist
Primary
29584
CA
Other
Enumeration date
08/16/2012
Last updated
03/04/2026
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