Individual
MS. BECKY ELIZABETH VANNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2610 GRAND AVE, BETHANY, MO 64424-1417
(660) 425-4432
(660) 425-4486
Mailing address
2610 GRAND AVE, BETHANY, MO 64424-1417
(660) 425-4432
(660) 425-4486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002029841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35073017
BCBS PROVIDER NUMBER
MO
Enumeration date
07/09/2006
Last updated
07/09/2007
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