Individual
CRISTINA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 OLD MILITARY RD NE STE 103, BREMERTON, WA 98311-3242
(360) 698-9258
Mailing address
7500 OLD MILITARY RD NE STE 103, BREMERTON, WA 98311-3242
(360) 698-9258
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61441380
WA
247200000X
Other Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2017
Last updated
12/15/2023
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