Priscilla Vasquez
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164096939
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1164096939
- Entity type
- Individual (NPI-1)
- Name
- Priscilla Vasquez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2021
- Certification date
- Apr 20, 2021
- Last updated
- May 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
3217 N Eastern AveLos Angeles, CA 90032
Phone 213-625-5009
Mailing address
3217 N Eastern AveLos Angeles, CA 90032
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