Individual
ANGELICA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 587-5603
Mailing address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09925744
CO
Other
Enumeration date
08/05/2015
Last updated
04/23/2019
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