Individual
ELIZABETH KELLY FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
3600 SHIRE BLVD STE 208, RICHARDSON, TX 75082-2238
(214) 556-0996
Mailing address
6359 BANDERA AVE APT C, DALLAS, TX 75225-3634
(214) 601-6842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
98246
TX
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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