James Dupre Fanning JR., LPC
NPI #1144759903 in Lexington, South Carolina
Provider Information
- NPI Number
- 1144759903
- Entity Type
- Individual
- Name
- James Dupre Fanning JR., LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jun 6, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 805 GIBSON FOREST DR
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29072-4101
- Phone
- (803) 528-1474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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