Most Relevant Information
Provider Data
| NPI Number: | 1003362476 |
| Provider Name: | KELLIE VAZQUEZ MA, NCC, BC-TMH, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | MH21532 |
Most Important Dates
| Enumeration Date: | 08/26/2016 |
| Last Updated: | 09/04/2024 |
Provider Practice Location
2323 S TROY ST STE 3-107
AURORA
CO
800141982
Practice Location Phone/Fax
| Phone: | 3145416256 |
| Fax: |
Provider Mailing Location
6327 COVENTRY DR
FLORISSANT
MO
630337914
Provider Mailing Phone/Fax
| Phone: | 9047501229 |
| Fax: |