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Individual

RAYMOND N VAZQUEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
256 WASHINGTON ST STE 3, MOUNT VERNON, NY 10553-1056
(914) 613-0700
(914) 644-8185
Mailing address
256 WASHINGTON ST STE 3, MOUNT VERNON, NY 10553-1056
(914) 613-0700
(914) 644-8185

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NY

Other

Enumeration date
05/26/2021
Last updated
05/26/2021
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