Individual
LEANNE FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 347-6493
Mailing address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 347-6493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MT1654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004258800
—
FL
Enumeration date
10/19/2011
Last updated
03/21/2012
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