Individual
BAMBI D FANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1639 FORUM PL, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
Mailing address
4996 PIMLICO CT, WEST PALM BEACH, FL 33415-9139
(561) 964-9035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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