| Fannin Counseling & Art Therapy | |
|
129 6th St S La Crosse WI 54601-4153 | |
| (608) 385-7559 | |
| Not Available |
| Full Name | Fannin Counseling & Art Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 129 6th St S, La Crosse, Wisconsin |
| Authorized Official Name and Position | Melissa Fannin (OWNER/COUNSELOR) |
| Authorized Official Contact | 6083857559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fannin Counseling & Art Therapy 2128 Market St La Crosse WI 54601-5057 Ph: (608) 385-7559 | Fannin Counseling & Art Therapy 129 6th St S La Crosse WI 54601-4153 Ph: (608) 385-7559 |
| NPI Number | 1730691205 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730691205 | NPI | - | NPPES |
| 100043611 | Medicaid | WI | |
| 12772699 | Other | WI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5465-125 (Wisconsin) | Primary |
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