MEDICARE: CINTHYA VAZQUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LAC-08388T	AZ

General Provider Information

NPI Number	:	1063362010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINTHYA VAZQUEZ

Provider Business Mailing Address
First Line	:	2913 E 22ND ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-2001
Country	:	US
Telephone Number	:	520-303-1697
Fax Number	:

Provider Business Practice Location Address
First Line	:	2913 E 22ND ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-2001
Country	:	US
Telephone Number	:	520-303-1697
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “ CINTHYA VAZQUEZ ” Practice Location

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