Provider Demographics
NPI:1851604144
Name:VASQUEZ, EUGENIA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:EUGENIA
Middle Name:
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 WHITMAN AVE N
Mailing Address - Street 2:# 201
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7849
Mailing Address - Country:US
Mailing Address - Phone:425-241-4222
Mailing Address - Fax:
Practice Address - Street 1:451 SW 10TH ST
Practice Address - Street 2:SUITE # 108
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2981
Practice Address - Country:US
Practice Address - Phone:425-687-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008859101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health