John Joseph Fanska | Liberty, MO • PECOS Search

John Joseph Fanska

Counselor

Behavioral Health & Social Service Providers

100 Westwoods Dr, Liberty, MO 64068-1181

PECOS Enrollment

Based on the most recent information from CMS, provider John Joseph Fanska does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1699293860
Provider Type
Individual
Full Name
Fanska, John Joseph
Title
Mr.
Credential
LPC

Gender
Male
Sole Proprietor
No
Enumeration Date
9/7/2017
Last Updated
1/3/2022

Contact Information

Practice Location

100 Westwoods Dr, Liberty, MO 64068-1181

(816) 792-3219

Mailing Location

100 Westwoods Dr, Liberty, MO 64068-1181

(816) 792-3219

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2015029904 Missouri