Individual
DENA P FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3300
(580) 323-2579
Mailing address
312 N 17TH ST, CLINTON, OK 73601-2614
(405) 219-0294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3568
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3568
LPC
OK
Enumeration date
01/04/2013
Last updated
01/04/2013
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