Individual provider · Type 1 NPI

Jorge Vasquez

Mental Health Counselor · Glendora, CA

NPI number 1194465195 Active

Practice location

1160 S Grand Ave
Glendora, CA 91740-5000

Mailing address

PO Box 857
Glendora, CA 91740-0857

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW97214 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1194465195

Jorge Vasquez's National Provider Identifier is 1194465195, issued on Mar 30, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendora, CA. The record was last updated on Mar 30, 2022.