Provider Demographics
NPI:1073077749
Name:LAMBRIX, VANESSA MARIE (MA, LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARIE
Last Name:LAMBRIX
Suffix:
Gender:F
Credentials:MA, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 CARLTON AVE
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1429
Mailing Address - Country:US
Mailing Address - Phone:919-451-6790
Mailing Address - Fax:
Practice Address - Street 1:86 CARLTON AVE
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1429
Practice Address - Country:US
Practice Address - Phone:760-994-4990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00650700101YM0800X
NY004483-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health