Individual
DR. VANESSA M GENUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD FPMHNP RNCS APRN
Contact information
Practice address
720 W HARWOOD RD, #250, HURST, TX 76054
(817) 581-1049
(817) 428-6380
Mailing address
720 W HARWOOD RD, #250, HURST, TX 76054
(817) 581-1049
(817) 428-6380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09630
TX
106H00000X
Marriage & Family Therapist
Primary
2122
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
543296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW00595J2
—
TX
Enumeration date
02/07/2007
Last updated
09/11/2025
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