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NPI Code Detail

MEDICARE: MS. AKILAH V VAZQUEZ MFT

MEDICARE: MS. AKILAH V VAZQUEZ MFT
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
1106H00000XMarriage & Family Therapist45594CA

General Provider Information

NPI Number : 1144619578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AKILAH V VAZQUEZ MFT
Provider Business Mailing Address
First Line : 10901 MACARTHUR BLVD STE 201
Second Line :
City : OAKLAND
State : CA
Zip : 94605-5200
Country : US
Telephone Number : 510-877-0614
Fax Number : 510-722-9308
Provider Business Practice Location Address
First Line : 10901 MACARTHUR BLVD STE 201
Second Line :
City : OAKLAND
State : CA
Zip : 94605
Country : US
Telephone Number : 510-877-0614
Fax Number : 510-722-9308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2015
Last Update Date : 04/08/2026

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