Provider Demographics
NPI:1942675517
Name:GALIANO, VANESSA H (ASW64177)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:H
Last Name:GALIANO
Suffix:
Gender:F
Credentials:ASW64177
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9818 LADERA CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-6228
Mailing Address - Country:US
Mailing Address - Phone:909-560-7682
Mailing Address - Fax:
Practice Address - Street 1:9818 LADERA CT
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-6228
Practice Address - Country:US
Practice Address - Phone:909-560-7682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW64177104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker