Most Relevant Information
Provider Data
| NPI Number: | 1003442385 |
| Provider Name: | VANESSA NICOLE BENAVIDES |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 79381 |
Most Important Dates
| Enumeration Date: | 03/18/2020 |
| Last Updated: | 03/18/2020 |
Provider Practice Location
308 S CESAR CHAVEZ AVE
CRYSTAL CITY
TX
788394200
Practice Location Phone/Fax
| Phone: | 8303742301 |
| Fax: |
Provider Mailing Location
601 W WEBB ST
CRYSTAL CITY
TX
788393825
Provider Mailing Phone/Fax
| Phone: | 8303746968 |
| Fax: |