Provider Demographics
NPI:1295280733
Name:VASQUEZ, ARMANDO (LPC)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:VASQUEZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 MICHAELANGELO DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-1404
Mailing Address - Country:US
Mailing Address - Phone:956-362-8290
Mailing Address - Fax:
Practice Address - Street 1:2821 MICHAELANGELO DR STE 204
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1423
Practice Address - Country:US
Practice Address - Phone:956-362-8290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73433101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX73433OtherLICENSED PROFESSIONAL LICENSE NUMBER
TX12797762OtherDRIVER'S LICENSE NUMBER