Individual
MS. JANE ELLEN FANSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2501 OREGON PIKE, LANCASTER, PA 17601-4890
(717) 735-1954
(717) 569-3045
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
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
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