Individual
ADELSIA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
291 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7047
(347) 489-2617
Mailing address
291 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7047
(347) 489-2617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003282
NY
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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