Individual provider · Type 1 NPI

Samuel Eduardo Vazquez

Mental Health Counselor · Corona, CA

NPI number 1316333750 Active

Practice location

2275 S Main St, 201
Corona, CA 92882-5303

Fax (951) 279-5222

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316333750

Samuel Eduardo Vazquez's National Provider Identifier is 1316333750, issued on Apr 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corona, CA. The record was last updated on Apr 13, 2015.