Individual
LIZA MONIQUE FANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC
Contact information
Practice address
4157 RIO BRAVO ST, EL PASO, TX 79902-1016
(915) 301-9779
Mailing address
4157 RIO BRAVO ST, EL PASO, TX 79902-1016
(915) 301-9779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
83527
TX
Other
Enumeration date
02/06/2023
Last updated
11/21/2024
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