Provider Demographics
NPI:1417404096
Name:HARI, VANESSA ELLEN (LPC)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:ELLEN
Last Name:HARI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:VANESSA
Other - Middle Name:ELLEN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:108 S. MAIN STREET
Mailing Address - Street 2:APT 3
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454
Mailing Address - Country:US
Mailing Address - Phone:215-801-3491
Mailing Address - Fax:267-217-5561
Practice Address - Street 1:108 S. MAIN STREET
Practice Address - Street 2:APT 3
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454
Practice Address - Country:US
Practice Address - Phone:215-801-3491
Practice Address - Fax:267-217-5561
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011368101YP2500X
PA1417404096101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional