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1215636147
MIRA ANN FANNING
CENTENNIAL, CO
NPI
1215636147
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Former Name
MIRA ANN ROBERTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPCC.0020398)
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
MIRA ANN FANNING MA, LPCC, MFTC
6087 S QUEBEC ST STE 102
CENTENNIAL, CO 80111-4539
Phone number: 303-835-6992
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Mailing Address
MIRA ANN FANNING MA, LPCC, MFTC
5687 S KING ST
LITTLETON, CO 80123-2826
Phone number: 949-439-8836
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