Joanna Marie Fanning
Individual provider Active NPI Mental Health Counselor · Viroqua, WI
NPI 1003091364 · NPPES record last updated Jan 7, 2008
Key facts
- NPI
- 1003091364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1321 N Main St
Viroqua, WI 54665-1156 - Phone
- (608) 637-7052
- Fax
- (608) 637-8500
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of Winona | Past | Accepting new patients | |
| Family & Children'S Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1321 N Main St
Viroqua, WI 54665-1156
Mailing address
66 E 3Rd St
201
Winona, MN 55987-3478
Phone (507) 452-7292
Other providers in Viroqua, WI
- Family & Children'S Center, Inc
- Family & Children'S Center, Inc
- Family & Children'S Center, Inc
- Family & Children'S Center, Inc
- Family & Children'S Center, Inc
- William Frederick Fasching
- Katie R. Fassbinder
- James R Feltes
- Amber Lockie Ferguson
- Megan Fiorella
All providers in Viroqua, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.