Fannin, Rebecca Michelle

Fannin, Rebecca Michelle is an sole proprietor health care provider with primary practice located at 120 Twin Oaks Dr , Jackson OH 45640-9506. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Fannin, Rebecca Michelle can be contacted via phone (740) 570-3450.

Contact Information

Primary practice address
120 Twin Oaks Dr Jackson OH 45640-9506
Phone: (740) 570-3450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 161451 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.2002694-TRNE Ohio

Profile Details

NPI number 1578090759
LBN Legal business name Fannin, Rebecca Michelle
Credentials CT, LCDC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2017
Last updated Jun 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578090759 NPPES
Ohio MEDICAID 1578090759

Popular Providers