Individual provider · Type 1 NPI

Holly Rae Fanning, MS

Mental Health Counselor · Buffalo, MN

NPI number 1235362054 Active

Practice location

308 12th Ave S
Buffalo, MN 55313-2321

Fax (763) 682-1353

Mailing address

1321 13th St N
St. Cloud, MN 56303-2613

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235362054

Holly Rae Fanning, MS's National Provider Identifier is 1235362054, issued on Aug 27, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, MN. The record was last updated on Aug 27, 2009.