Provider Demographics
NPI:1821697996
Name:GUERRERO, VANESSA (NCC, LCMHCA)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:NCC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-4502
Mailing Address - Country:US
Mailing Address - Phone:828-571-0882
Mailing Address - Fax:
Practice Address - Street 1:3 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-4502
Practice Address - Country:US
Practice Address - Phone:828-571-0882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16092101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health