person
Mr. Brody Thomas Fanshaw, MS,LPC-IT
Mental Health Counselor in La Crosse, Wisconsin
NPI 1689390981

Brody Thomas Fanshaw is a Mental Health Counselor based in La Crosse, WI and is specialized in Mental Health. Brody Thomas Fanshaw practices in La Crosse, WI and has the professional credentials of MS,LPC-IT. The NPI Number for Brody Thomas Fanshaw is 1689390981 and holds a License No. 7151-226 (Wisconsin).

The current practice location address for Brody Thomas Fanshaw is 115 5Th Ave S Ste 523, La Crosse, WI and can be reached out via phone at 608-394-0698.

Location: 115 5Th Ave S Ste 523, La Crosse, WI, 54601-4018
person
Provider Profile Details
NPI Number
1689390981
Provider Name
Brody Thomas Fanshaw
Credential
MS,LPC-IT
Provider Entity Type
Individual
Gender
Male
Address
115 5Th Ave S Ste 523, La Crosse, WI, 54601-4018
Phone Number
608-394-0698
Fax Number
Provider Enumeration Date
10/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 5Th Ave S Ste 523
City
State
Zip
54601-4018
Phone Number
608-394-0698
Fax Number
person
Provider Business Mailing Address Details
Address
115 5Th Ave S Ste 523
City
State
Zip
54601-4018
Phone Number
608-394-0698
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7151-226 (Wisconsin)
Definition
Definition to come...
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