Brenda Vazquez
Brenda Vazquez is a Mental Health Counselor in Providence, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and Utah.
- Licensed in
- ID, UT
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
545 W 465 N Ste 130Providence, UT 84332-8005
Phone: (208) 406-7394
Fax: (866) 515-9736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 275 S 5th Ave Ste 152, Pocatello, ID 83201-6418 — (208) 406-7394
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LCPC (ID) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 130095516004 (UT) |
Record details
| NPI number | 1629250717 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 29, 2007 |
| Last updated in NPPES | February 15, 2024 |
| Certification date | February 15, 2024 |
| Mailing address | 545 W 465 N Ste 130, Providence, UT 84332-8005 |
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MS. Karen Jean Lacy, LCSW
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Paz Wellness
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Mindi Strong
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Wholelife Family Wellness Clinic of Providence PLLC
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