Individual
MS. ROSE BERNADETTE VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10435 GREENBOUGH DR, STAFFORD, TX 77477-5000
(281) 207-2445
Mailing address
11711 MEMORIAL DR, #607, HOUSTON, TX 77024-7255
(832) 242-2988
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462441801
—
TX
Enumeration date
08/16/2006
Last updated
07/09/2007
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