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DALLAS MARIE VAZQUEZ
NPI 1376247064
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA

Active since March 28, 2023
1477 LINCOLN AVE, SAN RAFAEL, CA 94901(415) 492-4444 Get Directions Write a Review

NPPES record last updated: April 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2023, Mar 28, 2023 (2 updates tracked since 2023).

About Dallas Marie Vazquez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS MARIE VAZQUEZ (NPI 1376247064) is an individual addiction (substance use disorder) provider in San Rafael, California, licensed in California (14969) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1376247064
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDALLAS MARIE VAZQUEZ
Location Address1477 LINCOLN AVESan Rafael, CA 94901-2028
Mailing Address1477 Lincoln AveSan Rafael, CA 94901-2028 · (415) 492-4444
Phone(415) 492-4444
Sole ProprietorYes
Enumeration DateMarch 28, 2023
Last NPPES UpdateApril 9, 20232 updates tracked since enumeration
NPPES CertifiedApril 9, 2023
✔ NPI 1376247064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in CA · 14969✔ Licensed in CA · D5558060
1477 LINCOLN AVE, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATE PURVIS
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
LUZ AMPARO LEMONFIELD SUDRC
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
KRISTINA LAUREN FERRANTE
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
CHIVONNE LORRAINE BOZARTH
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
JEANNIE HILL
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
SEENA AGUILAR
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
MRS. GLORIA PEREZ NEVAREZ SUDCC 17223
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
JAVON DESHAY LAMPKIN R1373891219
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallas Vazquez's NPI number?

The NPI number for Dallas Vazquez is 1376247064. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Dallas Vazquez located?

Dallas Vazquez practices at 1477 Lincoln Ave, San Rafael, CA 94901. The listed phone number is (415) 492-4444.

What is Dallas Vazquez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dallas Vazquez was last updated on April 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.