VANTRANIQUE ( VANNA) T CAMPONOVO

FORT WORTH, TX
NPI1013622729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  16075)
Additional Taxonomies101Y00000X Counselor
(Licence:   CSAT-2021-3573)
Enumeration Date2023-01-17
Last Update Date2023-01-17
Business Address
Mrs. VANTRANIQUE ( VANNA) T CAMPONOVO M.A.,LCDC,CSAT-C
917 LIPSCOMB ST # D
FORT WORTH, TX 76104-3125
Phone number: 817-829-1214
Mailing Address
Mrs. VANTRANIQUE ( VANNA) T CAMPONOVO M.A.,LCDC,CSAT-C
917 LIPSCOMB ST # D
FORT WORTH, TX 76104-3125
Phone number: 817-829-1214