Individual
ANNA MARIA VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1389 HIGHWAY 15 N, JACKSON, KY 41339-7015
(606) 666-4011
Mailing address
1389 HIGHWAY 15 N, JACKSON, KY 41339-7015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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