Melody Carol Fancher
Counselor, Mental Health in Monticello, FL. Individual provider (NPI-1).
NPI number1164078689
StatusActive
Last updated in NPPESMar 31, 2022
Details
- NPI
- 1164078689
- Entity type
- Individual (NPI-1)
- Name
- Melody Carol Fancher
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2019
- Certification date
- Mar 31, 2022
- Last updated
- Mar 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH19688 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | IMH18527 | FL |
Other names
- Carol Shrum Fancher (Other Name)
Practice location
140 Kaptain DrMonticello, FL 32344-1199
Phone 850-491-0979
Mailing address
140 Kaptain DrMonticello, FL 32344-1199
Phone 850-491-0979
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