Provider Demographics
NPI:1164594255
Name:VAZQUEZ, NORMA ORALIA (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:ORALIA
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:ORALIA
Other - Last Name:ROSADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:7500 VISCOUNT BLVD STE C60
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-5693
Mailing Address - Country:US
Mailing Address - Phone:915-207-4047
Mailing Address - Fax:
Practice Address - Street 1:7500 VISCOUNT BLVD STE C60
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-5693
Practice Address - Country:US
Practice Address - Phone:915-207-4047
Practice Address - Fax:915-248-0076
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59312101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1809667-03Medicaid