MEDICARE: ASIA VELAZQUEZ

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	101YM0800X	Mental Health Counselor		VA

General Provider Information

NPI Number	:	1063386563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIA VELAZQUEZ

Provider Business Mailing Address
First Line	:	8508 ASHFIELD HILLS TER
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1264
Country	:	US
Telephone Number	:	804-928-1633
Fax Number	:

Provider Business Practice Location Address
First Line	:	8508 ASHFIELD HILLS TER
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1264
Country	:	US
Telephone Number	:	804-928-1633
Fax Number	:

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

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	09/30/2025

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Directions to “ ASIA VELAZQUEZ ” Practice Location

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