| Debra Fanning, LCPC | |
|
180 S Main St Fl 4, Canton, IL 61520-2608 | |
| (309) 706-3190 | |
| (309) 588-4115 |
| Full Name | Debra Fanning |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 180 S Main St Fl 4, Canton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699110742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180003689 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Fanning, LCPC Po Box 604, Bloomington, IL 61702-0604 Ph: (309) 706-3190 | Debra Fanning, LCPC 180 S Main St Fl 4, Canton, IL 61520-2608 Ph: (309) 706-3190 |
Miriam S Mindeman, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881 | |
Mr. Nathan W Gates, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 S Main St, Suite 203, Canton, IL 61520 Phone: 309-740-2171 Fax: 309-740-2171 | |
Mrs. Jacey L Downing, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881 | |
Mrs. Jennifer J Bates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 E Chestnut St, Suite C, Canton, IL 61520 Phone: 309-649-1660 Fax: 309-649-1660 |