Provider Demographics
NPI:1497038400
Name:VASQUEZ, RONNIE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:
Last Name:VASQUEZ
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 BILOXI CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-3031
Mailing Address - Country:US
Mailing Address - Phone:720-443-1868
Mailing Address - Fax:
Practice Address - Street 1:2821 S PARKER RD STE 159
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2743
Practice Address - Country:US
Practice Address - Phone:720-443-1868
Practice Address - Fax:720-324-2603
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist