Individual
COURTNEY VASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
2639 W DALLAS ST, HOUSTON, TX 77019-4100
(713) 581-0022
Mailing address
2639 W DALLAS ST, HOUSTON, TX 77019-4100
(713) 581-0022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
60560
TX
104100000X
Social Worker
S.1200950
OH
1041C0700X
Clinical Social Worker
Primary
60560
TX
Other
Enumeration date
08/07/2012
Last updated
10/25/2024
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