Individual provider · Type 1 NPI

Jerry Allen Vasquez, B.A.

Mental Health Counselor · Everett, WA

NPI number 1720197528 Active

Practice location

4526 Federal Ave
Everett, WA 98203-2132

Call (425) 349-8492 Map

Fax (425) 349-8484

Mailing address

5526 Firwood Dr
Lynnwood, WA 98036-6116

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00050855 (WA)

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About NPI 1720197528

Jerry Allen Vasquez, B.A.'s National Provider Identifier is 1720197528, issued on Aug 29, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Everett, WA. The record was last updated on Jul 8, 2007.