Individual provider · Type 1 NPI
Mirza Juliana Vasquez, LPC
Professional Counselor · San Antonio, TX
NPI number
1104679646
Active
Practice location
200 N Comal
San Antonio, TX 78207-3505
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 85655 (TX) |
Professional Counselor: Definition to come...
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About NPI 1104679646
Mirza Juliana Vasquez, LPC's National Provider Identifier is 1104679646, issued on Apr 5, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Apr 5, 2024.