Individual
JULIE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 CRAIG-KLAWOCK HIGHWAY STE 241, CRAIG, AK 99925
(907) 225-7825
Mailing address
PO BOX 544, KLAWOCK, AK 99925-0544
(907) 401-0378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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