Eduardo Ruiz Vasquez

Individual provider Active NPI Professional Counselor · Greenfield, CA

NPI 1639723448 · NPPES record last updated May 3, 2023

Key facts

NPI
1639723448
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
215 Huerta Ave
Greenfield, CA 93927-5762
Phone
(831) 674-2180
NPI assigned
Jul 30, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Rehabilitation Practitioner 225400000X
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

215 Huerta Ave
Greenfield, CA 93927-5762

Mailing address

18225 Hale Ave
Morgan Hill, CA 95037-3547
Phone (408) 465-8280

Other practice location 1

18217 Hale Ave
Morgan Hill, CA 95037-3550
Phone (408) 465-8280

Other providers in Greenfield, CA

All providers in Greenfield, CA · Professional Counselor in California

Sources for this page

Verify at the official NPI Registry.