| Vivian Vasquez, Mft, Lpc | |
|
13566 Orchard View St Carleton MI 48117-9448 | |
| (734) 733-8796 | |
| Not Available |
| Full Name | Vivian Vasquez, Mft, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13566 Orchard View St, Carleton, Michigan |
| Authorized Official Name and Position | Vivian Rose Vasquez (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7347338796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Vasquez, Mft, Lpc 13566 Orchard View St Carleton MI 48117-9448 Ph: (734) 733-8796 | Vivian Vasquez, Mft, Lpc 13566 Orchard View St Carleton MI 48117-9448 Ph: (734) 733-8796 |
| NPI Number | 1508529116 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508529116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Advanced Tele-behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5151 Scofield Carleton Rd, Carleton, MI 48117 Phone: 734-771-0161 |