Active NPIIndividual providerSole proprietor

Dr. Chunbo Fan, LAC

Counselor, Mental Health in Warren, New Jersey

NPI Number1295688372
Practice location
11 Claire Dr, Warren, NJ 07059-6805
Fax
—
Last updated
February 18, 2026

Chunbo Fan is a Counselor, Mental Health based in Warren, NJ. Chunbo Fan practices in Warren, NJ and has the professional credentials of LAC. The NPI Number for Chunbo Fan is 1295688372 and holds a License No. 37AC00932600 (NJ). The current practice location address for Chunbo Fan is 11 Claire Dr, Warren, NJ 07059-6805 and can be reached out via phone at 302-397-1758.

Provider Profile Details

NPI Number
1295688372
Provider Name
Chunbo Fan
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
11 Claire Dr, Warren, NJ 07059-6805
Phone Number
302-397-1758
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
February 18, 2026
Last Update Date
February 18, 2026
Certification Date
February 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Claire Dr
Warren, NJ 07059-6805
City
Warren
Zip
07059-6805
Phone Number
302-397-1758
Warren, NJ 07059Get directions →

Provider Business Mailing Address Details

Address
11 Claire Dr
Warren, NJ 07059-6805
City
Warren
State
NJ
Zip
07059-6805
Phone Number
302-397-1758

License Information

License Number
37AC00932600
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Chunbo Fan, LAC?

The NPI number of Dr. Chunbo Fan, LAC is 1295688372. It was assigned on February 18, 2026 and is currently active in the NPPES registry.

What is the specialty of Dr. Chunbo Fan, LAC?

Dr. Chunbo Fan, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00932600.

Where does Dr. Chunbo Fan, LAC practice?

The practice location is 11 Claire Dr, Warren, NJ 07059-6805. The office can be reached at 302-397-1758 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295688372 directly on the NPPES registry website.

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