Provider Demographics
NPI:1265324842
Name:VASQUEZ, CINDY M (MA)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:M
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:M
Other - Last Name:VASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4204 HOMEWOODS DR
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-7404
Mailing Address - Country:US
Mailing Address - Phone:479-659-2382
Mailing Address - Fax:
Practice Address - Street 1:4204 HOMEWOODS DR
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-7404
Practice Address - Country:US
Practice Address - Phone:479-659-2382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2104000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional