Provider Demographics
NPI:1225852353
Name:VANESSA SEXSON, LCPC
Entity type:Organization
Organization Name:VANESSA SEXSON, LCPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEXSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LAC, LPC
Authorized Official - Phone:406-522-0809
Mailing Address - Street 1:777 E MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3809
Mailing Address - Country:US
Mailing Address - Phone:406-522-0809
Mailing Address - Fax:
Practice Address - Street 1:777 E MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3809
Practice Address - Country:US
Practice Address - Phone:406-522-0809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)