Individual provider · Type 1 NPI

Dallas Marie Vazquez

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1376247064 Active

Practice location

1477 Lincoln Ave
San Rafael, CA 94901-2028

Call (415) 492-4444 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XD5558060 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14969 (CA)

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

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About NPI 1376247064

Dallas Marie Vazquez's National Provider Identifier is 1376247064, issued on Mar 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Apr 9, 2023.