Provider Demographics
NPI:1245512292
Name:SABLAR, VANESSA PAULINE (MA,LPC)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:PAULINE
Last Name:SABLAR
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 ANDALUSIAN DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0237
Mailing Address - Country:US
Mailing Address - Phone:817-676-7849
Mailing Address - Fax:
Practice Address - Street 1:207 W HICKORY ST STE 106
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4147
Practice Address - Country:US
Practice Address - Phone:817-676-7849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65015101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional