Provider Demographics
NPI:1386260818
Name:PAULSON, VANESSA (LMFT)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:PAULSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8925 E PIMA CENTER PKWY STE 145
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4407
Mailing Address - Country:US
Mailing Address - Phone:805-398-0010
Mailing Address - Fax:
Practice Address - Street 1:8925 E PIMA CENTER PKWY STE 145
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4407
Practice Address - Country:US
Practice Address - Phone:805-398-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-20
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124890106H00000X
AZ16006106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist