| Doctor Name: | MR. JOSE J. VASQUEZ |
| NPI Number: | 1184796757 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | R037723-1 |
| Business Practice Address: | 1285 Route 9 Suite 7b Wappingers Falls, NY - 12590 |
| Business Phone Number: | 8456322939 |
| Business Fax Number: | 8456322940 |
| Mailing Address: | 1285 Route 9, Suite 7b WAPPINGERS FALLS |
| State: | NY |
| Postal Code: | 12590 |
| Phone Number: | 8456322939 |
| Fax Number: | 8456322940 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 09/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | R037723-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |