Individual
REBECCA INEZ VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPC
Contact information
Practice address
7000B S CENTER DR, CLEARLAKE, CA 95422-8131
(707) 994-7090
(707) 994-7164
Mailing address
PO BOX 1024, LUCERNE, CA 95458-1024
(707) 274-9101
(707) 274-9192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
Primary
MPSS-KHTPSR
CA
Other
Enumeration date
07/08/2024
Last updated
02/18/2026
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