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Individual

MS. JANE ELLEN FANSLOW

Active
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Individual

MS. JANE ELLEN FANSLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701006088
VA
101YP2500X
Professional Counselor
1875
GA
101YP2500X
Professional Counselor
Primary
PC009613
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103757465
PA
01
10751861
CAQH
Enumeration date
01/20/2007
Last updated
09/23/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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