Fanning, Lisa

Fanning, Lisa is an sole proprietor health care provider with primary practice located at 844 W Kaena Pl , Wailuku HI 96793-9620. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fanning, Lisa can be contacted via phone (808) 419-8105.

Contact Information

Primary practice address
844 W Kaena Pl Wailuku HI 96793-9620
Phone: (808) 419-8105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MHC-1031-0 Hawaii

Profile Details

NPI number 1538882881
LBN Legal business name Fanning, Lisa
Credentials LMHC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2022
Last updated May 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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