Ernesto Vazquez, CADC II, QMHA I, RBT
Counselor, Addiction (Substance Use Disorder) in Coburg, OR. Individual provider (NPI-1).
NPI number1528782844
StatusActive
Last updated in NPPESJun 24, 2026
Details
- NPI
- 1528782844
- Entity type
- Individual (NPI-1)
- Name
- Ernesto Vazquez
- Credential
- CADC II, QMHA I, RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2022
- Certification date
- Jun 24, 2026
- Last updated
- Jun 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 101YA0400X | OR | Yes |
| 106S00000X | Behavior Technician | IN-10227061 | OR | |
| 101YM0800X | Counselor, Mental Health | 24-QMHA-I-00436 | OR |
Other names
- Ernesto Vazquez Falcon (Other Name)
Practice location
1 Serenity LnCoburg, OR 97408-9350
Phone 541-687-1110
Mailing address
1 Serenity LnCoburg, OR 97408-9350
Phone 541-687-1110 · Fax 541-683-9061
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