Stephanie Cuebas Vazquez, LPC

Individual provider Active NPI Mental Health Counselor · Biloxi, MS

NPI 1700514932 · NPPES record last updated Jun 24, 2024

Key facts

NPI
1700514932
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
3123 (MS)
Practice address
2550 Marshall Rd
Biloxi, MS 39531-4747
Phone
(228) 300-6586
NPI assigned
Aug 15, 2022
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
3123MSMDMental Health Counselor
P-0838MSMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P-0838 MS
Mental Health Counselor 101YM0800X 3123 MS Yes

Addresses

Primary practice location

2550 Marshall Rd
Biloxi, MS 39531-4747

Mailing address

6675 Balboa Cir
Ocean Springs, MS 39564-2304
Phone (787) 307-5611

Other providers in Biloxi, MS

All providers in Biloxi, MS · Mental Health Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.