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Lisa Fanning, NCC
Mental Health Counselor in Wailuku, Hawaii
NPI 1538882881

Lisa Fanning is a Mental Health Counselor based in Wailuku, HI and is specialized in Mental Health. Lisa Fanning practices in Wailuku, HI and has the professional credentials of NCC. The NPI Number for Lisa Fanning is 1538882881 and holds a License No. (Hawaii).

The current practice location address for Lisa Fanning is 2065 Main St Ste 111, Wailuku, HI and can be reached out via phone at 808-419-8105.

Location: 2065 Main St Ste 111, Wailuku, HI, 96793-9620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538882881
Provider Name
Lisa Fanning
Credential
NCC
Provider Entity Type
Individual
Gender
Female
Address
2065 Main St Ste 111, Wailuku, HI, 96793-9620
Phone Number
808-419-8105
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2065 Main St Ste 111
City
Wailuku
State
Hawaii
Zip
96793-1693
Phone Number
808-419-8105
Fax Number
person
Provider Business Mailing Address Details
Address
2065 Main St Ste 111
City
Wailuku
State
Hawaii
Zip
96793-1693
Phone Number
808-419-8105
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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