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Individual

VANESSA LANE WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
505 UNIVERSITY DR E, STE. 501, COLLEGE STATION, TX 77840-5901
(979) 571-8857
(979) 314-9993
Mailing address
505 UNIVERSITY DR E, STE.501, COLLEGE STATION, TX 77840-5901
(979) 571-8857
(979) 314-9993

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65841
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65841
TEXAS LICENSE
TX
Enumeration date
09/24/2010
Last updated
05/08/2012
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