Organization
INSPIREDPRACTICELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ALISSA VASQUEZ PHD, LCSW-S (CO-OWNER)
(512) 577-2255
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 12079, AUSTIN, TX 78731-4257
(512) 577-2255
Mailing address
5900 BALCONES DR STE 12079, AUSTIN, TX 78731-4257
(512) 577-2255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
03/30/2023
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