Provider Demographics
NPI:1194503409
Name:VAZQUEZ, ALEXZIS KATHARINE (LPC, NCC)
Entity type:Individual
Prefix:
First Name:ALEXZIS
Middle Name:KATHARINE
Last Name:VAZQUEZ
Suffix:
Gender:
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 22 1/4 RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-1319
Mailing Address - Country:US
Mailing Address - Phone:970-433-3456
Mailing Address - Fax:
Practice Address - Street 1:2232 N 7TH ST STE 11
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7454
Practice Address - Country:US
Practice Address - Phone:970-462-7844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0022141101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional