Individual provider · Type 1 NPI

Edgar Alfonso Vasquez, SUDCC

Counselor · Fairfield, CA

NPI number 1851208607 Active

Practice location

1095 E Tabor Ave
Fairfield, CA 94533-4190

Call (707) 399-9190 Map

Mailing address

609 Jefferson St
Fairfield, CA 94533-6293

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X13378 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1851208607

Edgar Alfonso Vasquez, SUDCC's National Provider Identifier is 1851208607, issued on Aug 26, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairfield, CA. The record was last updated on Aug 26, 2026.