Individual
MR. JOHN JOSEPH FANSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 781-8550
(816) 792-3219
Mailing address
100 WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 781-8550
(816) 792-3219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015029904
MO
Other
Enumeration date
09/07/2017
Last updated
01/03/2022
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