Individual
ARLAND PIERRE FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
6427 PENN AVE S, RICHFIELD, MN 55423-1142
(612) 465-8110
(612) 455-2568
Mailing address
6427 PENN AVE S, RICHFIELD, MN 55423-1142
(612) 465-8110
(612) 455-2568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302298
MN
Other
Enumeration date
04/22/2010
Last updated
04/27/2010
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