Fannin, Terra

Fannin, Terra is an sole proprietor health care provider with primary practice located at 4350 Gallia St , New Boston OH 45662-5515. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fannin, Terra can be contacted via phone (740) 354-6685.

Contact Information

Primary practice address
4350 Gallia St New Boston OH 45662-5515
Phone: (740) 354-6685
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.2204723 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.162297 Ohio

Profile Details

NPI number 1780197657
LBN Legal business name Fannin, Terra
Credentials LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2017
Last updated Mar 27th, 2023 - about 3 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.

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