Provider Demographics
NPI:1508496993
Name:DANIELS, VANESSA JOYCE (LPC)
Entity Type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:JOYCE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16991
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-6991
Mailing Address - Country:US
Mailing Address - Phone:281-406-0335
Mailing Address - Fax:
Practice Address - Street 1:2204 THOMPSON RD STE 100
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5412
Practice Address - Country:US
Practice Address - Phone:281-406-0335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-24
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health