| Doctor Name: | VANESSA DESIR |
| NPI Number: | 1003296450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LPC00826 |
| Business Practice Address: | 1355 Terrell Mill Rd Se Bldg. 1460 Suite 205 Marietta, GA - 300675496 |
| Business Phone Number: | 4044399981 |
| Business Fax Number: | |
| Mailing Address: | 1355 Terrell Mill Rd Se, Bldg. 1460 Suite 205 MARIETTA |
| State: | GA |
| Postal Code: | 300675496 |
| Phone Number: | 4044399981 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2015 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC00826 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |