Provider Demographics
NPI:1508534553
Name:AASLETTEN, VANESSA CAROLINE (MS, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:CAROLINE
Last Name:AASLETTEN
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-1628
Mailing Address - Country:US
Mailing Address - Phone:214-600-4011
Mailing Address - Fax:
Practice Address - Street 1:3825 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1628
Practice Address - Country:US
Practice Address - Phone:214-600-4011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77466101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty