Provider Demographics
NPI:1821433772
Name:GAONA, VANESSA N (LPC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:N
Last Name:GAONA
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 1:800 ROCKMEAD DR
Mailing Address - Street 2:STE 132
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2112
Mailing Address - Country:US
Mailing Address - Phone:713-481-2808
Mailing Address - Fax:713-481-2805
Practice Address - Street 1:800 ROCKMEAD DR
Practice Address - Street 2:STE 132
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2112
Practice Address - Country:US
Practice Address - Phone:713-481-2808
Practice Address - Fax:713-481-2805
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66377101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional