Provider Demographics
NPI:1831296730
Name:HADADY, VANESSA (LMFT)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:HADADY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:207 INNIS ST
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-2931
Mailing Address - Country:US
Mailing Address - Phone:209-471-0683
Mailing Address - Fax:
Practice Address - Street 1:207 INNIS ST
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-2931
Practice Address - Country:US
Practice Address - Phone:209-471-0683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43628106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist