Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenda Vazquez

Individual provider Mental Health Counselor · NPI 1629250717

Brenda Vazquez is a Mental Health Counselor in Providence, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2007
Specialties on file
2

Practice location Address checks out

545 W 465 N Ste 130
Providence, UT 84332-8005
Phone: (208) 406-7394
Fax: (866) 515-9736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 275 S 5th Ave Ste 152, Pocatello, ID 83201-6418 — (208) 406-7394

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence 130095516004 (UT)

Record details

NPI number1629250717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2007
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

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