Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dallas Marie Vazquez

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376247064

Dallas Marie Vazquez is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1477 Lincoln Ave
San Rafael, CA 94901-2028
Phone: (415) 492-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14969 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence D5558060 (CA)

Record details

NPI number1376247064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2023
Last updated in NPPESApril 9, 2023
Certification dateApril 9, 2023

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