Individual
ANA FATANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RMHCI
Contact information
Practice address
19 S DIXIE HWY, LAKE WORTH, FL 33460-3727
(561) 714-3434
Mailing address
912 NORTHERN DR, WEST PALM BEACH, FL 33403-2018
(561) 714-3434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
IMH20691
FL
101YM0800X
Mental Health Counselor
Primary
IMH20691
FL
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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