Provider Demographics
NPI:1124705157
Name:OCHOA, VANESSA (LPC, NCC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:OCHOA
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:OCHOA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:VANESSA DE LA CRUZ
Mailing Address - Street 1:34124 FM-2893, LOS FRESNOS, TX, 78566
Mailing Address - Street 2:
Mailing Address - City:LOS FRESNOS
Mailing Address - State:TX
Mailing Address - Zip Code:78566
Mailing Address - Country:US
Mailing Address - Phone:956-832-3484
Mailing Address - Fax:
Practice Address - Street 1:34124 FM-2893, LOS FRESNOS, TX, 78566
Practice Address - Street 2:
Practice Address - City:LOS FRESNOS
Practice Address - State:TX
Practice Address - Zip Code:78566
Practice Address - Country:US
Practice Address - Phone:956-832-3484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87628101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health