Individual provider · Type 1 NPI

Jose Fidias Vasquez, PhD, PSY.D.

Mental Health Counselor · Olympia, WA

NPI number 1811269772 Active

Practice location

147 Rogers St NW
Olympia, WA 98502-5343

Fax (360) 350-3569

Mailing address

3015 Langridge Loop NW
Olympia, WA 98502-4423

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60090934 (WA)
Specialist 174400000XHP60090870 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1811269772

Jose Fidias Vasquez, PhD, PSY.D.'s National Provider Identifier is 1811269772, issued on Feb 7, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olympia, WA. The record was last updated on Feb 7, 2012.