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General NPI Number Information
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NPI Number | 1427934819
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Entity Type | Individual
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Provider Name | GABRIELA VALENTINA VAZQUEZ LMFT, LPCC, PPSC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 11627 BROOKSHIRE AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4911
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Country | US
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Telephone | 562-904-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 FREMONT AVE UNIT 1211
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City | SOUTH PASADENA
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State | CA
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Zip | 91031-7056
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Country | US
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Telephone | 323-795-3811
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15370
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 140559
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License Number State | CA
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