DEBORAH JOYCE FANNON (NPI# 1952522633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952522633 |
Entity Type | Individual |
Full Name | DEBORAH JOYCE FANNON |
Credential | LPC |
Practice Address |
902 Edmond St Suite 204 Saint Joseph MO 64501-2702 |
Mailing Address |
335 E 4th St Maryville MO 64468-1778 |
Practice Telephone | 8162322885 |
Mailing Telephone | 6605823990 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2002011136 | MO | Behavioral Health & Social Service Providers |
Street Address |
902 EDMOND ST SUITE 204 |
City | SAINT JOSEPH |
State | MO |
Zip Code | 64501-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255331005 | Samaritan Counseling Center Inc. | Psychologist | 902 Edmond St, Ste 203, Saint Joseph, MO 64501-2702 | 2005-07-22 |
1639418262 | Laura Willoughby | Registered Nurse | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2013-02-01 |
1104122035 | Laura J Moore | Social Worker | 902 Edmond St, Suite 204, Saint Joseph, MO 64501-2749 | 2011-02-10 |
1104145572 | Sami S Yerganian | Nurse Practitioner | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2010-05-25 |
1245485523 | Susan L. Shuman | Psychologist | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2008-12-01 |
1205054996 | Carol Ann Weipert | Social Worker | 902 Edmond St, Suite 204, Saint Joseph, MO 64501-2702 | 2007-04-20 |
1063637064 | Monica L Campbell | Social Worker | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2702 | 2007-04-16 |
1598771081 | Kaynoosh Partamian | Psychologist | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2702 | 2006-08-01 |
1588698948 | James J Jura | Internal Medicine | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2006-07-10 |
1710923032 | Charla Markt | Psychologist | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2702 | 2006-06-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023359114 | B-in Motion Chiropractic, Inc | Chiropractor | 2202 Locust, St Joseph, MO 64501 | 2013-03-14 |
1801019518 | Dian R Banks | Counselor | 902 Edmond, Suite 204, St Joseph, MO 64501 | 2007-04-11 |
1750324745 | Family Guidance Center | Case Management | 510 Francis, Suite 200, Saint Joseph, MO 64501 | 2006-06-14 |
1932188919 | Matthew Robert Noyce | Dentist | 400 Jules St, Suite 440, St Joseph, MO 64501 | 2006-01-10 |
1629088398 | Roy Ronold Rubnke | Psychologist | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-08-08 |
1871514414 | William G Brown | Psychologist | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-07-21 |
1417978123 | Dan S Frydman | Social Worker | 510 Francis, Suite 200, St Jospeh, MO 64501 | 2006-07-21 |
1679590442 | Jennifer Ann Burhoop | Counselor | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-07-16 |
1932135787 | Luis H Schwarz | Psychiatry & Neurology | 510 Francis, Suite 200, Saint Joseph, MO 64501 | 2006-06-23 |
1356336804 | Chateau Place Inc | Nursing Facility/Intermediate Care Facility | 811 N 9th St, Saint Joseph, MO 64501-1651 | 2005-09-12 |
Find all providers in zip 64501 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497364715 | Danyell Brown | Counselor | 501 S 36th St Ste 102, Saint Joseph, MO 64506-3067 | 2020-07-23 |
1669940433 | Care Mgt Solutions Services LLC | Counselor | 1334 S Manor Dr., Saint Joseph, MI 49085-3114 | 2018-11-08 |
1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
1467960922 | Jeremy Michael Malzon | Counselor | 1901 Niles Ave Ste 102, Saint Joseph, MI 49085-1615 | 2018-01-18 |
1194230003 | Cheryl Lynn Uldrich | Counselor | 3312 E Colony Sq, Saint Joseph, MO 64506-1505 | 2017-12-14 |
1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
1104346055 | Felicia D. Flowers | Counselor | 1334 S. Manor Dr., Saint Joseph, MI 49085 | 2017-06-21 |
1053862060 | Living Well Concepts | Counselor | 3801 Oakland Ave, Suite 110, Saint Joseph, MO 64506-3622 | 2016-10-14 |
1306270186 | Jackie Dorothea Moser | Counselor | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507-2098 | 2013-08-28 |
1477990174 | Bright Hope Counseling Center, Pllc | Counselor | 1101 Broad St Ste 8, Saint Joseph, MI 49085-2198 | 2013-06-04 |
Find all providers in SAINT JOSEPH |
City | SAINT JOSEPH |
Zip Code | 64501 |
Please comment or provide details below to improve the information on DEBORAH JOYCE FANNON.
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.