person
Terra Fannin, LCDC
Addiction (Substance Use Disorder) Counselor in New Boston, Ohio
NPI 1780197657

Terra Fannin is an Addiction (Substance Use Disorder) Counselor based in Portsmouth, OH and is specialized in Addiction (Substance Use Disorder). Terra Fannin practices in New Boston, OH and has the professional credentials of LCDC. The NPI Number for Terra Fannin is 1780197657 and holds a License No. C.2204723 (Ohio).

The current practice location address for Terra Fannin is 4350 Gallia St, New Boston, OH and can be reached out via phone at 740-354-6685.

Location: 4350 Gallia St, New Boston, OH, 45662-3932
person
Provider Profile Details
NPI Number
1780197657
Provider Name
Terra Fannin
Credential
LCDC
Provider Entity Type
Individual
Gender
Female
Address
4350 Gallia St, New Boston, OH, 45662-3932
Phone Number
740-354-6685
Fax Number
Provider Enumeration Date
11/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4350 Gallia St
City
State
Zip
45662-5515
Phone Number
740-354-6685
Fax Number
person
Provider Business Mailing Address Details
Address
4350 Gallia St
City
State
Zip
45662-5515
Phone Number
740-354-6685
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LICDC.162297 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C.2204723 (Ohio)
Definition
Definition to come...
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