Jorge Vasquez

NPI #1194465195 in Glendora, California

Provider Information

NPI Number: 1194465195
Entity Type: Individual
Name: Jorge Vasquez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 30, 2022
Last Updated: Mar 30, 2022

Practice Location

Address: 1160 S GRAND AVE
City: Glendora
State: California
ZIP Code: 91740-5000
Phone: (626) 335-5980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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