| Doctor Name: | BEVERLY ANN VANOVER |
| NPI Number: | 1235567132 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 76041 |
| Business Practice Address: | 94 Main St Cassville, MO - 656251610 |
| Business Phone Number: | 4178476042 |
| Business Fax Number: | |
| Mailing Address: | Po Box 763, MONETT |
| State: | MO |
| Postal Code: | 657080763 |
| Phone Number: | 8704900722 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2013 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 76041 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |