Provider Demographics
NPI:1992041354
Name:GALLAGHER, VANESSA FALKENBERG (LPC-S)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:FALKENBERG
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9402 HONEYCOMB DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-1119
Mailing Address - Country:US
Mailing Address - Phone:512-745-1957
Mailing Address - Fax:512-292-9388
Practice Address - Street 1:4009 BANISTER LN
Practice Address - Street 2:SUITE 356
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7040
Practice Address - Country:US
Practice Address - Phone:512-745-1957
Practice Address - Fax:512-306-8086
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional