Mylinda Renee Fanj, M.S., LPC (US)

NPI #1255617015 in Wagoner, Oklahoma

Provider Information

NPI Number: 1255617015
Entity Type: Individual
Name: Mylinda Renee Fanj, M.S., LPC (US)
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: M.S., LPC (US)
Enumeration Date: Oct 25, 2011
Last Updated: Oct 25, 2011

Practice Location

Address: 109 S HARRILL AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5317
Phone: (918) 485-3554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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