Most Relevant Information
Provider Data
| NPI Number: | 1003296450 |
| Provider Name: | VANESSA DESIR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC00826 |
Most Important Dates
| Enumeration Date: | 06/01/2015 |
| Last Updated: | 06/01/2015 |
Provider Practice Location
1355 TERRELL MILL RD SE
BLDG. 1460 SUITE 205
MARIETTA
GA
300675496
Practice Location Phone/Fax
| Phone: | 4044399981 |
| Fax: |
Provider Mailing Location
1355 TERRELL MILL RD SE
BLDG. 1460 SUITE 205
MARIETTA
GA
300675496
Provider Mailing Phone/Fax
| Phone: | 4044399981 |
| Fax: |