Individual
ESLY VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
(408) 842-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
(408) 842-8815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
CA
101YP2500X
Professional Counselor
Primary
—
CA
Other
Enumeration date
09/02/2016
Last updated
08/10/2020
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