Provider Demographics
NPI:1932083698
Name:VASQUEZ, KIMBERLY (MS, PPS, APCC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:MS, PPS, APCC
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:PILPIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PPS
Mailing Address - Street 1:1400 RAIDERS WAY
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-5639
Mailing Address - Country:US
Mailing Address - Phone:805-278-2947
Mailing Address - Fax:
Practice Address - Street 1:1400 RAIDERS WAY
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-5639
Practice Address - Country:US
Practice Address - Phone:805-278-2947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health