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Contact Information

VANESSA VAZQUEZ
108 W VICTORIA ST
GARDENA, CA90248
 Phone: 310-715-2020
 Fax: 909-537-7002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community/Behavioral Health

251S00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for VANESSA VAZQUEZ · (Female)

NPI # 1538615612
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2016
Last updated 09/13/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 119221
  • CA License # P70877
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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