Vasquez, Terri Lynn

Vasquez, Terri Lynn is an sole proprietor health care provider with primary practice located at 350 N Wilmot Rd , Tucson AZ 85711-2602. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Vasquez, Terri Lynn can be contacted via phone (520) 873-3000.

Contact Information

Primary practice address
350 N Wilmot Rd Tucson AZ 85711-2602
Phone: (520) 873-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10749 Arizona
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW-11013 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-11013 Arizona
Behavioral Health & Social Service Providers / School 1041S0200X LCSW-11013 Arizona

Profile Details

NPI number 1821143181
LBN Legal business name Vasquez, Terri Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821143181 NPPES
Arizona MEDICAID 861080

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