NPI 1639915630

Rebecca Inez Vasquez, PEERSUPPORTSPC

Practitioner Peer Specialist Clearlake, CA

Practice location

Address: 7000b S Center Dr, Clearlake, CA 95422-8131
Phone: (707) 994-7090
Fax: (707) 994-7164
Mailing address: PO Box 1024, Lucerne, CA 95458-1024

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence MPSS-KHTPSR (CA)

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Registry record

NPI: 1639915630
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2024
Record last updated: 18 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.