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

Individual provider Mental Health Counselor · NPI 1417562653

Priscilla Martinez Vazquez, PPSC is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone: (213) 241-3841
Fax: (213) 241-3305
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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 · Licence 111102 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Rehabilitation Practitioner Taxonomy 225400000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417562653
Entity typeIndividual (Type 1)
GenderFemale
Credentials PPSC
Sole proprietorNo
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 9, 2023
Certification dateSeptember 9, 2023

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