Jorge Vazquez

NPI #1720832694 in Bloomington, Illinois

Provider Information

NPI Number: 1720832694
Entity Type: Individual
Name: Jorge Vazquez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 16, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 502 S MORRIS AVE
City: Bloomington
State: Illinois
ZIP Code: 61701-4884
Phone: (309) 820-7616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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