Provider Demographics
NPI:1396079786
Name:VANBEEST, NANCY DAWN (LMFT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:DAWN
Last Name:VANBEEST
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4675 MACKUBIN ST
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-6015
Mailing Address - Country:US
Mailing Address - Phone:612-386-5254
Mailing Address - Fax:
Practice Address - Street 1:241 CLEVELAND AVE S
Practice Address - Street 2:SUITE 'P'
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1208
Practice Address - Country:US
Practice Address - Phone:612-386-5254
Practice Address - Fax:651-699-9616
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2052106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist