Provider Demographics
NPI:1144740945
Name:ANGER, VANESSA (LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:
Last Name:ANGER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:MS
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:DAVILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:437 W OAKLAWN RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-4050
Mailing Address - Country:US
Mailing Address - Phone:210-764-9525
Mailing Address - Fax:
Practice Address - Street 1:437 W OAKLAWN RD UNIT B
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-4050
Practice Address - Country:US
Practice Address - Phone:210-764-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68018101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor