Provider Demographics
NPI:1598395410
Name:TARBILL, VANESSA (LAC-T)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:TARBILL
Suffix:
Gender:F
Credentials:LAC-T
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:EGURROLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6012 S SWEET BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-8986
Mailing Address - Country:US
Mailing Address - Phone:520-604-8949
Mailing Address - Fax:
Practice Address - Street 1:6891 N ORACLE RD STE 155
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4287
Practice Address - Country:US
Practice Address - Phone:520-308-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-20
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-08245T101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health