Individual
VANESSA ANGELA MONSIVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3800 PALUXY DR STE 404, TYLER, TX 75703-1617
(323) 522-2218
Mailing address
3800 PALUXY DR STE 404, TYLER, TX 75703-1617
(323) 522-2218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10818
TX
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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