Provider Demographics
NPI:1891346623
Name:CLEERE, VANESSA (MED LPC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:CLEERE
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 BEARD AVE # 2
Mailing Address - Street 2:
Mailing Address - City:ROBINSON
Mailing Address - State:TX
Mailing Address - Zip Code:76706-5070
Mailing Address - Country:US
Mailing Address - Phone:254-716-2937
Mailing Address - Fax:
Practice Address - Street 1:1109 BEARD AVE # 2
Practice Address - Street 2:
Practice Address - City:ROBINSON
Practice Address - State:TX
Practice Address - Zip Code:76706-5070
Practice Address - Country:US
Practice Address - Phone:254-716-2937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73558101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor