Individual provider · Type 1 NPI

Mizrain Vazquez, CADC I

Addiction (Substance Use Disorder) Counselor · Grants Pass, OR

NPI number 1194187625 Active

Practice location

510 NW 4th St
Grants Pass, OR 97526-2078

Fax (541) 474-5172

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13-12-43 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

3 other providers at this address

Other addiction (substance use disorder) counselor providers in Grants Pass

See all in Grants Pass →

About NPI 1194187625

Mizrain Vazquez, CADC I's National Provider Identifier is 1194187625, issued on Mar 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grants Pass, OR. The record was last updated on Mar 23, 2016.