JACKELINE NOEMI VAZQUEZ
NPI 1235025842
Counselor - Mental Health in Winston Salem, NC
Active since June 18, 2025
About Jackeline Noemi Vazquez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKELINE NOEMI VAZQUEZ (NPI 1235025842) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (13609) and active in the NPI registry since June 2025.
NPPES Registry Identity
NPI1235025842
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKELINE NOEMI VAZQUEZ
Location Address3153 REYNOLDA RDWinston Salem, NC 27106-3009
Mailing Address3153 Reynolda RdWinston Salem, NC 27106-3009 · (336) 293-4463
Phone(336) 293-4463
Sole ProprietorYes
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1235025842 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 13609
3153 REYNOLDA RD, Winston Salem, NC 27106
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235025842, enumerated as an "individual" on June 18, 2025.
The provider is located at 3153 REYNOLDA RD WINSTON SALEM, NC 27106 and the phone number is (336) 293-4463.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
