Individual
DANIEL REXFORD FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
34 NARRAGANSETT AVE STE 3, JAMESTOWN, RI 02835-1132
(401) 846-3144
Mailing address
136 SHADY COVE RD, NORTH KINGSTOWN, RI 02852-7126
(401) 684-3144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00946
RI
Other
Enumeration date
05/25/2018
Last updated
09/01/2022
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