Individual provider · Type 1 NPI

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

Professional Counselor · Wagoner, OK

NPI number 1255617015 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X(US) 966 (OK)

Professional Counselor: Definition to come...

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About NPI 1255617015

Mylinda Renee Fanj, M.S., LPC (US)'s National Provider Identifier is 1255617015, issued on Oct 25, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wagoner, OK. The record was last updated on Oct 25, 2011.