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NPI Code Detail

MEDICARE: MS. CHARI DENISE VANDEVER LPC

MEDICARE: MS. CHARI DENISE VANDEVER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2101YP2500XProfessional Counselor67203TX

General Provider Information

NPI Number : 1568712347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHARI DENISE VANDEVER LPC
Provider Business Mailing Address
First Line : 313 N MORNINGSIDE ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78404-2430
Country : US
Telephone Number : 361-359-0600
Fax Number :
Provider Business Practice Location Address
First Line : 401 E SONTERRA BLVD STE 375
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4321
Country : US
Telephone Number : 361-359-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2012
Last Update Date : 01/06/2025

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