Individual
DONNA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
(562) 533-1312
Mailing address
1955 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
(562) 533-1312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
111012
CA
104100000X
Social Worker
Primary
111012
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/01/2022
Last updated
06/16/2023
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