Individual provider · Type 1 NPI

Domonic Vasquez, MHP

Mental Health Counselor · Minneapolis, MN

NPI number 1114503711 Active

Practice location

2800 Freeway Blvd Ste 204
Minneapolis, MN 55430-1751

Call (763) 412-1996 Map

Fax (763) 292-5653

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900X0000000 (MN)
Mental Health Counselor Primary 101YM0800X0000000 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1114503711

Domonic Vasquez, MHP's National Provider Identifier is 1114503711, issued on Mar 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 23, 2021.