Doctor Name: | DANIELLE R. VANOVER |
NPI Number: | 1043562309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 58945 Business Center Dr Suite J & P Yucca Valley, CA - 922847307 |
Business Phone Number: | 7603691074 |
Business Fax Number: | |
Mailing Address: | 58945 Business Center Dr, Suite J & P YUCCA VALLEY |
State: | CA |
Postal Code: | 922847307 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/11/2012 |
NPI Last Update Date: | 10/11/2012 |
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: |