| Doctor Name: | MS. ELIZABETH LYNN VASQUEZ |
| NPI Number: | 1184954075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LCASA |
| License Number: | |
| Business Practice Address: | 501 N Green St Wadesboro, NC - 281701612 |
| Business Phone Number: | 9109046981 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1871, RAEFORD |
| State: | NC |
| Postal Code: | 283763871 |
| Phone Number: | 9109046981 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2009 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |