Provider Demographics
NPI:1023565306
Name:VASQUEZ COUNSELING & CONSULTING PSYCHOLOGY PLLC
Entity Type:Organization
Organization Name:VASQUEZ COUNSELING & CONSULTING PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DESI
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:956-319-7914
Mailing Address - Street 1:6826 SPRINGFIELD AVE
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2213
Mailing Address - Country:US
Mailing Address - Phone:956-319-7914
Mailing Address - Fax:956-729-1947
Practice Address - Street 1:6826 SPRINGFIELD AVE
Practice Address - Street 2:SUITE 103A
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2213
Practice Address - Country:US
Practice Address - Phone:956-319-7914
Practice Address - Fax:956-729-1947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35152103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty