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

Iridian Vazquez

Individual provider Counselor · NPI 1407405137

Iridian Vazquez is a Counselor in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

811 Grand Ave Ste D
Sacramento, CA 95838-3466
Phone: (916) 922-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X · Licence 109966 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1407405137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 5, 2019
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

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