Individual provider · Type 1 NPI

Antonio Edward Vasquez

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1407476930 Active

Practice location

2307 W 6th St
Los Angeles, CA 90057-3119

Mailing address

2749 Jed Rd
Escondido, CA 92027-5105

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1407476930

Antonio Edward Vasquez's National Provider Identifier is 1407476930, issued on Apr 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 24, 2020.