Provider Information for 1083270599
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GINKA V VASILEVA LMFT
Other Names:Professional Name:GUINKA V VASILEVA MS., LMFTSex: Female
NPI: 1083270599
Last Updated: 2022-02-01
Certification Date: 2022-01-21
Certification Date: 2022-01-21
Details
Name | Value | ||||||||
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NPI | 1083270599 | ||||||||
Enumeration Date | 2019-05-10 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 29827 S LEGENDS VILLAGE CIR SPRING, TX 77386-2039 United States Phone: 713-992-5791 | Fax: | ||||||||
Primary Practice Address | 256 ED ENGLISH DR STE C SHENANDOAH, TX 77385-8028 United States Phone: 713-992-5791 | Fax: | ||||||||
Secondary Practice Address(es) | 29827 S LEGENDS VILLAGE CIR | ||||||||
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