Individual
JAMES DUPRE FANNING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
805 GIBSON FOREST DR, LEXINGTON, SC 29072-4101
(803) 528-1474
Mailing address
805 GIBSON FOREST DR, LEXINGTON, SC 29072-4101
(803) 528-1474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3744
SC
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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