| Terra Fannin, LCDC | |
|
4350 Gallia St, New Boston, OH 45662-5515 | |
| (740) 354-6685 | |
| Not Available |
| Full Name | Terra Fannin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4350 Gallia St, New Boston, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780197657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C.2204723 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162297 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terra Fannin, LCDC 411 Court St, Portsmouth, OH 45662-3932 Ph: () - | Terra Fannin, LCDC 4350 Gallia St, New Boston, OH 45662-5515 Ph: (740) 354-6685 |
Rebecca Louise Stewart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3879 Rhodes Ave Ste 200, New Boston, OH 45662 Phone: 740-802-0922 | |
Lisa L Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4342 Gallia St, New Boston, OH 45662 Phone: 740-529-1184 Fax: 740-529-4118 | |
Amber Stone, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4350 Gallia St, New Boston, OH 45662 Phone: 740-354-6685 | |
Audrey Marie Stiltner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4502 Gallia St, New Boston, OH 45662 Phone: 740-529-7020 Fax: 740-529-7085 | |
Ashley N Ellis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4350 Gallia St, New Boston, OH 45662 Phone: 740-354-6550 | |
Mrs. Adrianna Noelle Kayser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4350 Gallia St, New Boston, OH 45662 Phone: 740-354-6550 | |
Bobbi Jo Reeder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4350 Gallia St, New Boston, OH 45662 Phone: 740-354-6550 |