| Brenda Vazquez, | |
|
545 W 465 N Ste 130, Providence, UT 84332-8005 | |
| (208) 406-7394 | |
| (866) 515-9736 |
| Full Name | Brenda Vazquez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 545 W 465 N Ste 130, Providence, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629250717 | NPI | - | NPPES |
| 1629250717 | Other | ID | PRIVATE INSURERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 130095516004 (Utah) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCPC (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Vazquez, 545 W 465 N Ste 130, Providence, UT 84332-8005 Ph: (208) 406-7394 | Brenda Vazquez, 545 W 465 N Ste 130, Providence, UT 84332-8005 Ph: (208) 406-7394 |
Heather Ballingham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 277 N Spring Creek Pkwy, Providence, UT 84332 Phone: 435-753-0253 | |
Jonathan Lavan Bundy, PT, DPT Counselor Medicare: Medicare Enrolled Practice Location: 267 N Spring Creek Pkwy, Providence, UT 84332 Phone: 435-792-9400 | |
Kari Gorbous, LPC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 825 S 500 E, Providence, UT 84332 Phone: 480-800-9157 | |
Katie Snow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 545 W 465 N Ste 100, Providence, UT 84332 Phone: 435-753-6606 | |
Sarah Griggs, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 277 N Spring Creek Pkwy, Providence, UT 84332 Phone: 435-753-0253 |