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Individual

HILARIO VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, CADC-II, PPSC

Contact information

Practice address
11934 HAWTHORNE BLVD UNIT A1, HAWTHORNE, CA 90250-3016
(424) 269-0076
Mailing address
7044 TAMPA AVE, RESEDA, CA 91335-3715
(424) 269-0076

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
108501
CA

Other

Enumeration date
03/10/2015
Last updated
01/13/2025
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