Provider Demographics
NPI:1871689513
Name:VANELLI, PEGGY J (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:J
Last Name:VANELLI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
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Mailing Address - Street 1:4800 SUGAR GROVE BLVD
Mailing Address - Street 2:SUITE 605
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477
Mailing Address - Country:US
Mailing Address - Phone:281-455-3933
Mailing Address - Fax:832-595-8313
Practice Address - Street 1:4800 SUGAR GROVE BLVD
Practice Address - Street 2:SUITE 605
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:281-455-3933
Practice Address - Fax:832-595-8313
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX17782101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional