Provider Demographics
NPI:1154000248
Name:VAZQUEZ, XOCHILT (LPC)
Entity type:Individual
Prefix:
First Name:XOCHILT
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 E DEL MAR BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-0007
Mailing Address - Country:US
Mailing Address - Phone:956-977-5322
Mailing Address - Fax:
Practice Address - Street 1:1312 HOUSTON ST STE 36
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-5006
Practice Address - Country:US
Practice Address - Phone:956-977-5322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2024-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76788101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional