Individual
LAURA LYNN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 S CONGRESS AVE STE 202, AUSTIN, TX 78745-1156
(512) 697-8645
Mailing address
4201 S CONGRESS AVE STE 202, AUSTIN, TX 78745-1156
(512) 697-8645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TX
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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