Healthcare Provider Details

I. General information

NPI: 1710740642
Provider Name (Legal Business Name): VANESSA AGUILAR ESTEBANE LPC(C)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 DEL REY BLVD
LAS CRUCES NM
88012-7710
US

IV. Provider business mailing address

8311 SIGNAL PEAK PL
EL PASO TX
79904-2834
US

V. Phone/Fax

Practice location:
  • Phone: 575-382-4998
  • Fax:
Mailing address:
  • Phone: 915-201-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number98353
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2023-1089
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: