Provider Demographics
NPI:1134418791
Name:ROMERO, VANESSA CATHERINE (LMFT)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:CATHERINE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:CATHERINE
Other - Last Name:KOERITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3222 CORTE MALPASO STE 204-205
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-8072
Mailing Address - Country:US
Mailing Address - Phone:805-279-8339
Mailing Address - Fax:
Practice Address - Street 1:3222 CORTE MALPASO STE 204-205
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-8072
Practice Address - Country:US
Practice Address - Phone:805-279-8339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist