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Individual

ISABELLA C FANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1017 W 54TH ST S, WICHITA, KS 67217-5466
(316) 370-1614
Mailing address
1017 W 54TH ST S, WICHITA, KS 67217-5466
(316) 370-1614

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KS
251S00000X
Community/Behavioral Health Agency
KS

Other

Enumeration date
04/10/2026
Last updated
04/10/2026
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