DEBRA FANNING


Address: 180 S Main St Fl 4, Canton, IL 61520-2608
Phone: 3097063190

DEBRA FANNING (NPI# 1699110742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699110742
Entity Type Individual
Full Name DEBRA FANNING
Credential LCPC
Practice Address 180 S Main St Fl 4
Canton
IL 61520-2608
Mailing Address Po Box 604
Bloomington
IL 61702-0604
Practice Telephone 3097063190
Practice Fax Number 3095884115
Mailing Telephone 3097063190
Mailing Fax Number 3095884115
Enumeration Date 2013-05-02
Last Update Date 2013-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180003689 IL Behavioral Health & Social Service Providers

Office Location

Street Address 180 S MAIN ST FL 4
City CANTON
State IL
Zip Code 61520-2608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497978480 Walton Cs-xi P.C. Chiropractor 410 E. Elm Street, Canton, IL 61520 2007-04-10
1811912918 Jennifer Christine Daniel-price Chiropractor 410 E Elm Street, Canton, IL 61520 2006-07-12
1245216241 Fulton County Health Department Clinic/Center 700 East Oak Street, Canton, IL 61520 2005-12-21
1124482252 Ryan Deushane Nurse Anesthetist, Certified Registered 210 W Walnut St, Canton, IL 61520 2016-04-05
1750749826 Shawn Michael Wynn Nurse Anesthetist, Certified Registered 210 W Walnut St, Canton, IL 61520 2016-02-04
1417312232 Danielle Marianna Sausaman Dietitian, Registered 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 2015-12-21
1740533835 Abby L. Sherwood Chiropractor 410 E Elm Street, Canton, IL 61520 2012-10-26
1417261041 Erin Kathleen Buckley Obstetrics & Gynecology 180 S Main St, Canton, IL 61520 2010-08-06
1619375532 Brittany Nicole Miller Nurse Practitioner 1300 E Locust St, Canton, IL 61520-0008 2014-12-09
1437197845 Heartland of Canton Il LLC Clinic/Center 2081 N Main St, Canton, IL 61520-1032 2006-06-04
Find all providers in zip 61520

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861009268 Alliance of Hope Counseling Services LLC Counselor 1358 Stacy Dr, Canton, MI 48188-1438 2020-09-29
1902418270 Sharon S Byler Counseling, LLC Counselor 1511 3rd St Se, Canton, OH 44707-3246 2020-08-18
1083234876 Robin L Skora Lpc, LLC Counselor 1948 Hendrie, Canton, MI 48187-4686 2020-04-21
1710537170 Godfrey Ndubuisi Aguwa Counselor 46779 Creeks Bnd, Canton, MI 48188-2384 2019-09-18
1184288417 Barbara Lee Parry Counselor 251 Vz County Road 2408, Canton, TX 75103-4068 2019-04-22
1649744947 Evelynmarie Sabrinah Dorce Counselor 840 Commerce Trl, Canton, GA 30114-7572 2019-01-20
1679088413 Taylor Clay Counselor 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 2017-12-01
1508379934 Marsha R Mudrey Counselor 2205 Riverstone Boulevard, Suite 273, Canton, GA 30114-5250 2017-11-07
1740728906 Meadow Winds Counseling Services Counselor 195 Trenton Ln, Canton, GA 30115-8194 2017-02-08
1043764459 Denna Mary Gilot Counselor 3206 Windsor Woods Ln, Canton, MA 02021-3469 2016-08-15
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 61520

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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