| Mizrain Vazquez, CADC I | |
|
510 Nw 4th St, Grants Pass, OR 97526-2078 | |
| (541) 474-5196 | |
| (541) 474-5172 |
| Full Name | Mizrain Vazquez |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 510 Nw 4th St, Grants Pass, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194187625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13-12-43 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mizrain Vazquez, CADC I 510 Nw 4th St, Grants Pass, OR 97526-2078 Ph: (541) 474-5196 | Mizrain Vazquez, CADC I 510 Nw 4th St, Grants Pass, OR 97526-2078 Ph: (541) 474-5196 |
Desarae Margaret Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-4943 | |
Ms. Lisa Jean Meredith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 Fax: 541-476-1526 | |
Taylor Way, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave, Grants Pass, OR 97527 Phone: 541-476-3302 | |
Tamra Blanchard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1349 Golden Park Dr Apt B, Grants Pass, OR 97527 Phone: 541-761-3989 Fax: 541-226-2356 | |
Samantha Tevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 | |
Seann Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527 Phone: 541-956-4943 | |
Jorge Romero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 |