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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDA VAZQUEZ

Active Sole Proprietor

BRENDA VAZQUEZ is a Mental Health Counselor healthcare provider located in PROVIDENCE, Utah. NPI 1629250717 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PROVIDENCE, UT

Registration Details

NPI Number
1629250717
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2007 (18.685508370009 yrs)
Last Updated
Feb 15, 2024
Licenses
130095516004 (UT)
LCPC (ID)
Sole Proprietor
Yes

Practice Information

Address
545 W 465 N STE 130
PROVIDENCE, UT, 843328005
Browse UT providers · Browse ZIP 84332
Phone
2084067394
Fax
8665159736
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in PROVIDENCE, UT

Name Credential NPI
HEATHER BALLINGHAM 1104368182
SARAH GRIGGS CSW 1730707209
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.