Individual
MELISSA FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 PINE ST, LA CROSSE, WI 54601-3481
(608) 668-2103
(833) 997-3923
Mailing address
230 PINE ST, LA CROSSE, WI 54601-3481
(608) 668-2103
(833) 997-3923
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5465 - 125
WI
Other
Enumeration date
11/01/2014
Last updated
09/11/2024
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