Provider Information for 1629362314
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VANESSA LYNN LONGORIA-CARTER LPC, LMFT
Sex: Female
NPI: 1629362314
Last Updated: 2024-10-01
Certification Date: 2024-10-01
Certification Date: 2024-10-01
Details
| Name | Value | ||||||||||||||||
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| NPI | 1629362314 | ||||||||||||||||
| Enumeration Date | 2011-05-31 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1502 SCHLEY AVE SAN ANTONIO, TX 78210-4353 United States Phone: 502-386-7462 | Fax: | ||||||||||||||||
| Primary Practice Address | 201 S LAKELINE BLVD 103 CEDAR PARK, TX 78613-2718 United States Phone: 512-537-3093 | Fax: | ||||||||||||||||
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