Debra Fanning, LCPC

NPI #1699110742 in Canton, Illinois

Provider Information

NPI Number
1699110742
Entity Type
Individual
Name
Debra Fanning, LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
May 2, 2013
Last Updated
May 2, 2013

Practice Location

Address
180 S MAIN ST FL 4
City
Canton
ZIP Code
61520-2608
Phone
(309) 706-3190

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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