| Doctor Name: | VANESSA ACQUISTAPACE |
| NPI Number: | 1093184707 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 8140 Sunland Blvd Sun Valley, CA - 913523948 |
| Business Phone Number: | 8185828832 |
| Business Fax Number: | 8185828836 |
| Mailing Address: | 8140 Sunland Blvd, SUN VALLEY |
| State: | CA |
| Postal Code: | 913523948 |
| Phone Number: | 8185828832 |
| Fax Number: | 8185828836 |
| NPI Enumeration Date: | 09/23/2015 |
| NPI Last Update Date: | 09/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |