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Individual

DR. EDWARD H FANKHANEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, ED.D.

Contact information

Practice address
134 CALLE ZAMBEZE, CROWN HILLS, SAN JUAN, PR 00926-6010
(787) 754-7213
Mailing address
134 CALLE ZAMBEZE, CROWN HILLS, SAN JUAN, PR 00926-6010
(787) 754-7213

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001578
NY
101YM0800X
Mental Health Counselor
MH6051
FL
103TC1900X
Counseling Psychologist
Primary
993
PR

Other

Enumeration date
08/15/2006
Last updated
06/19/2008
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