Jane Ellen Fanslow LPC

NPI 1376696344 - Counselor - 101YP2500X

NPI Details
NPI 1376696344
Gender Female
Enumeration Date 01/20/2007
Last Updated 03/03/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1006 US HIGHWAY 23 NORTH
WEBER CITY VA, 24290-7021, US
Phone (276) 225-0976
Fax (423) 467-3644
Business Location
1167 SPRATLIN PARK DR
GRAY TN, 37615-6205, US
Phone (423) 467-3600
Fax (423) 467-3644
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number 1875
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According to our database, Ms. Jane Ellen Fanslow LPC NPI is 1376696344, taxonomy code is 101YP2500X and license number is 1875, license state is located at Georgia. Jane Ellen Fanslow LPC physically located at 1006 Us Highway 23 North, Weber City VA, 24290-7021. NPI Number Jane Ellen Fanslow LPC has the Individual type.

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1376696344 NPI number is provided on an as is basis without warranty of any kind. 1376696344 is maintained by the National Plan & Provider Enumeration System. The contents of Jane Ellen Fanslow LPC are for informational purposes only.