Provider Demographics
NPI:1871849794
Name:ATTEBERRY, NEVA ILEEN (MS, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:NEVA
Middle Name:ILEEN
Last Name:ATTEBERRY
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 W FARM ROAD 168
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-8269
Mailing Address - Country:US
Mailing Address - Phone:417-496-7871
Mailing Address - Fax:417-887-9425
Practice Address - Street 1:3314 W FARM ROAD 168
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-8269
Practice Address - Country:US
Practice Address - Phone:417-496-7871
Practice Address - Fax:417-887-9425
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-29
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000173994101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional