Organization
PATRICK FANNON LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK FANNON LCSW (OWNER)
(818) 445-3660
Entity
Organization
Contact information
Practice address
729 7TH AVE # 10TH, NEW YORK, NY 10019-6831
(818) 445-3660
Mailing address
729 7TH AVE FL 10, NEW YORK, NY 10019-6895
(818) 445-3660
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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