person
Melissa Fannin, LPCC
Professional Counselor in Ashland, Kentucky
NPI 1013120054

Melissa Fannin is a Professional Counselor based in Ashland, KY and is specialized in Professional. Melissa Fannin practices in Ashland, KY and has the professional credentials of LPCC. The NPI Number for Melissa Fannin is 1013120054 and holds a License No. 103173 (Kentucky).

The current practice location address for Melissa Fannin is 3701 Lansdowne Dr, Ashland, KY and can be reached out via phone at 606-324-3005 and via fax at 606-329-1530. You can also correspond with Melissa Fannin through the mailing address at PO BOX 790, ASHLAND, KY - 41105-0790 (mailing address contact number: 606-329-8588).

Location: 3701 Lansdowne Dr, Ashland, KY, 41105-0790
person
Provider Profile Details
NPI Number
1013120054
Provider Name
Melissa Fannin
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
3701 Lansdowne Dr, Ashland, KY, 41105-0790
Phone Number
606-324-3005
Fax Number
606-329-1530
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000532644 01 ANTHEM BCBS (NON PAR)
000000532644 01 ANTHEM BCBS
12656765 01 CAQH
7100280950 05 KY
institution
Provider Business Practice Location Address Details
Address
3701 Lansdowne Dr
City
State
Zip
41102
Phone Number
606-324-3005
Fax Number
606-329-1530
person
Provider Business Mailing Address Details
Address
3701 Lansdowne Dr
City
State
Zip
41102
Phone Number
606-324-3005
Fax Number
606-329-1530
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
103173 (Kentucky)
Definition
Definition to come...
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