Individual provider · Type 1 NPI

Mira Ann Fanning, MA, LPCC, MFTC

Mental Health Counselor · Centennial, CO

NPI number 1215636147 Active

Practice location

6087 S Quebec St Ste 102
Centennial, CO 80111-4539

Call (303) 835-6992 Map

Mailing address

5687 S King St
Littleton, CO 80123-2826

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCC.0020398 (CO)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1215636147

Mira Ann Fanning, MA, LPCC, MFTC's National Provider Identifier is 1215636147, issued on Feb 28, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centennial, CO. The record was last updated on Feb 28, 2023.