Individual
MARIA VENESSA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC-I
Contact information
Practice address
204 CLIFTON ST, HOUSTON, TX 77011-3314
(713) 926-1921
Mailing address
301 RUSTIC DR, PASADENA, TX 77502-1921
(171) 353-4948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TX
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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