Individual
JORGE ALEJANDRO VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
6707 BRENTWOOD STAIR RD STE 218, FORT WORTH, TX 76112-3324
(214) 952-7505
Mailing address
6707 BRENTWOOD STAIR RD STE 218, FORT WORTH, TX 76112-3324
(214) 952-7505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17054
TX
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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