Individual
CELENA D FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3612 WREN AVE, FORT WORTH, TX 76133-2131
(817) 718-8366
Mailing address
3612 WREN AVE, FORT WORTH, TX 76133-2131
(817) 718-8366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
61959
TX
1041C0700X
Clinical Social Worker
Primary
61959
TX
171M00000X
Case Manager/Care Coordinator
61959
TX
Other
Enumeration date
04/09/2025
Last updated
07/25/2025
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