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Mrs. Vantranique ( Vanna) T Camponovo, MA,LCDC,CSAT-C
Counselor in Fort Worth, Texas
NPI 1013622729

Vantranique ( Vanna) T Camponovo is a Counselor based in Fort Worth, TX. Vantranique ( Vanna) T Camponovo practices in Fort Worth, TX and has the professional credentials of MA,LCDC,CSAT-C. The NPI Number for Vantranique ( Vanna) T Camponovo is 1013622729 and holds a License No. 16075 (Texas).

The current practice location address for Vantranique ( Vanna) T Camponovo is 917 Lipscomb St # D, Fort Worth, TX and can be reached out via phone at 817-829-1214.

Location: 917 Lipscomb St # D, Fort Worth, TX, 76104-3125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013622729
Provider Name
Vantranique ( Vanna) T Camponovo
Credential
MA,LCDC,CSAT-C
Provider Entity Type
Individual
Gender
Female
Address
917 Lipscomb St # D, Fort Worth, TX, 76104-3125
Phone Number
817-829-1214
Fax Number
Provider Enumeration Date
01/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
917 Lipscomb St # D
City
Fort Worth
State
Texas
Zip
76104-3125
Phone Number
817-829-1214
Fax Number
person
Provider Business Mailing Address Details
Address
917 Lipscomb St # D
City
Fort Worth
State
Texas
Zip
76104-3125
Phone Number
817-829-1214
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CSAT-2021-3573 ()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16075 (Texas)
Definition
Definition to come...
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