Individual
MICHELLE ANN FANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 488-6000
(802) 488-6919
Mailing address
102 S WINOOSKI AVE, BURLINGTON, VT 05401-7406
(802) 488-6920
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000485
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007511
—
VT
Enumeration date
10/25/2006
Last updated
04/29/2025
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