Domonic Vasquez, MHP is a
Counselor - Mental Health based in Minneapolis, Minnesota. Domonic Vasquez is licensed to practice in Minnesota (license number 0000000) and his current practice location is
2800 Freeway Blvd Ste 204, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(763) 412-1996.
NPI number for Domonic Vasquez is 1114503711 and his current mailing address is 2800 Freeway Blvd Ste 204, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114503711.
Healthcare Provider's Profile
| Full Name | Domonic Vasquez |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 2800 Freeway Blvd Ste 204, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114503711
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 03/23/2021
Medical Identifiers
Medical identifiers for Domonic Vasquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114503711 | NPI | - | NPPES |
| 00000000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 0000000 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0000000 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Domonic Vasquez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Domonic Vasquez, MHP
2800 Freeway Blvd Ste 204,
Minneapolis, MN 55430-1751
Ph: (763) 412-1996 | Domonic Vasquez, MHP
2800 Freeway Blvd Ste 204,
Minneapolis, MN 55430-1751
Ph: (763) 412-1996 |
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