Individual provider · Type 1 NPI
Debra Fanning, LCPC
Professional Counselor · Canton, IL
NPI number
1699110742
Active
Practice location
180 S Main St Fl 4
Canton, IL 61520-2608
Fax (309) 588-4115
Mailing address
PO Box 604
Bloomington, IL 61702-0604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180003689 (IL) |
Professional Counselor: Definition to come...
Other professional counselor providers in Canton
About NPI 1699110742
Debra Fanning, LCPC's National Provider Identifier is 1699110742, issued on May 2, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Canton, IL. The record was last updated on May 2, 2013.