IndividualActive
Debra Fanning, LCPC
NPI 1699110742 · Professional Counselor · Canton, IL
Provider details
- NPI number
- 1699110742
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- License
- 180003689 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
180 S Main St Fl 4
Canton, IL 61520-2608
Phone: (309) 706-3190
Fax: (309) 588-4115
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 604
Bloomington, IL 61702-0604
Registry dates
- Enumerated
- 2013-05-02
- Last updated
- 2013-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.