Individual
JESUS VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3970 W 24TH ST, SUITE 206, YUMA, AZ 85364-9255
(928) 373-8041
(928) 259-2501
Mailing address
PO BOX 3333, SOMERTON, AZ 85350-3333
(928) 259-2501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 16266
AZ
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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