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Individual

MRS. DEANNA M FOFANOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1620 NORTHWEST BLVD STE 201, COEUR D ALENE, ID 83814-2488
(208) 651-2952
Mailing address
1620 NORTHWEST BLVD STE 201, COEUR D ALENE, ID 83814-2488
(208) 651-2952

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-9195
ID
101YP2500X
Professional Counselor
LH60142565
WA

Other

Enumeration date
03/30/2010
Last updated
10/16/2025
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