SearchCalifornia1041C0700X

Jessica Fanty, LMSW

NPI 1639965833 · on the registry since 2025

Practice

Address
60 Mdg / Sgxw
101 Bodin Circle
Travis Afb, CA 94535
Phone
(707) 423-2317

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California