Provider Demographics
NPI:1609651629
Name:VAZQUEZ, BRIANNA AURORA (MA, LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:AURORA
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:MA, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 GARNER FIELD RD
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-6209
Mailing Address - Country:US
Mailing Address - Phone:830-591-1822
Mailing Address - Fax:830-591-1826
Practice Address - Street 1:1815 GARNER FIELD RD
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-6209
Practice Address - Country:US
Practice Address - Phone:830-591-1822
Practice Address - Fax:830-591-1826
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92087101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health