Individual
MR. JOHN WARREN VAN NESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMSW
Contact information
Practice address
414 140TH STREET, CHURDAN, IA 50050-8555
(515) 389-3291
Mailing address
414 140TH STREET, CHURDAN, IA 50050-8555
(515) 389-3291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00198
IA
1041C0700X
Clinical Social Worker
04410
IA
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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