Individual
MRS. ALICIA NICOLE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 MISSION GORGE RD STE O, SANTEE, CA 92071-3040
(619) 383-6868
(619) 330-2760
Mailing address
10201 MISSION GORGE RD STE O, SANTEE, CA 92071-3040
(619) 383-6868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
07/24/2024
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