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Individual

KATHERINE ANN FANTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3622 PROSPECT AVE E, CLEVELAND, OH 44115-2704
(216) 431-4600
Mailing address
16205 SOUTHLAND AVE, CLEVELAND, OH 44111-2951
(216) 334-8832

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YP2500X
Professional Counselor
Primary
C.2507117
OH

Other

Enumeration date
05/06/2024
Last updated
01/20/2026
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