ERNESTO VAZQUEZ

COBURG, OR
NPI1528782844
Other NameERNESTO VAZQUEZ FALCON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  101YA0400X)
Additional Taxonomies106S00000X Behavior Technician
(Licence: OR  IN-10227061)
101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHA-I-00436)
Enumeration Date2022-09-29
Last Update Date2026-06-24
Business Address
ERNESTO VAZQUEZ CADC II, QMHA I, RBT
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
Mailing Address
ERNESTO VAZQUEZ CADC II, QMHA I, RBT
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110