person
Brenda Vazquez
Mental Health Counselor in Providence, Utah
NPI 1629250717

Brenda Vazquez is a Mental Health Counselor based in Providence, UT and is specialized in Mental Health. Brenda Vazquez practices in Providence, UT. The NPI Number for Brenda Vazquez is 1629250717 and holds a License No. 130095516004 (Utah).

The current practice location address for Brenda Vazquez is 545 W 465 N Ste 130, Providence, UT and can be reached out via phone at 208-406-7394 and via fax at 866-515-9736.

Location: 545 W 465 N Ste 130, Providence, UT, 84332-8005
person
Provider Profile Details
NPI Number
1629250717
Provider Name
Brenda Vazquez
Credential
Provider Entity Type
Individual
Gender
Female
Address
545 W 465 N Ste 130, Providence, UT, 84332-8005
Phone Number
208-406-7394
Fax Number
866-515-9736
Provider Enumeration Date
11/29/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629250717 01 ID PRIVATE INSURERS
institution
Provider Business Practice Location Address Details
Address
545 W 465 N Ste 130
City
State
Zip
84332-8005
Phone Number
208-406-7394
Fax Number
866-515-9736
person
Provider Business Mailing Address Details
Address
545 W 465 N Ste 130
City
State
Zip
84332-8005
Phone Number
208-406-7394
Fax Number
866-515-9736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
130095516004 (Utah)
Definition
Definition to come...
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