Individual
JAMIL CESAR VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8015B W SANDIA CIR SE, ALBUQUERQUE, NM 87116-5500
(779) 875-1413
Mailing address
8015B W SANDIA CIR SE, ALBUQUERQUE, NM 87116-5500
(779) 875-1413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0245
NM
Other
Enumeration date
04/05/2023
Last updated
04/06/2023
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