Individual
ANGELINA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 COUNTRY CLUB BLVD, STOCKTON, CA 95204-4918
(951) 305-2473
Mailing address
1111 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 938-0228
(209) 938-0281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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