Most Relevant Information
Provider Data
| NPI Number: | 1003313743 |
| Provider Name: | VANESSA QUALLS LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 39003228A |
Most Important Dates
| Enumeration Date: | 04/10/2018 |
| Last Updated: | 04/10/2018 |
Provider Practice Location
521 E 86TH AVE
MERRILLVILLE
IN
464106173
Practice Location Phone/Fax
| Phone: | 2193233311 |
| Fax: |
Provider Mailing Location
815 HUEY DR
CROWN POINT
IN
463077869
Provider Mailing Phone/Fax
| Phone: | 2196693775 |
| Fax: |