Individual provider · Type 1 NPI

Katherine Ann Fanta, LPC

Professional Counselor · Cleveland, OH

NPI number 1073360012 Active

Practice location

3622 Prospect Ave E
Cleveland, OH 44115-2704

Call (216) 431-4600 Map

Mailing address

16205 Southland Ave
Cleveland, OH 44111-2951

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC.2507117 (OH)

Professional Counselor: Definition to come...

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About NPI 1073360012

Katherine Ann Fanta, LPC's National Provider Identifier is 1073360012, issued on May 6, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cleveland, OH. The record was last updated on Jan 20, 2026.