Rebecca Michelle Fannin, CT, LCDC III | |
120 Twin Oaks Dr, Jackson, OH 45640-9506 | |
(740) 570-3450 | |
Not Available |
Full Name | Rebecca Michelle Fannin |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 120 Twin Oaks Dr, Jackson, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578090759 | NPI | - | NPPES |
1578090759 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Integrated Services For Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073578431 PECOS PAC ID: 9234372525 Enrollment ID: O20130905000931 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Michelle Fannin, CT, LCDC III 224 Columbus Rd, Athens, OH 45701-1334 Ph: (740) 592-6724 | Rebecca Michelle Fannin, CT, LCDC III 120 Twin Oaks Dr, Jackson, OH 45640-9506 Ph: (740) 570-3450 |
Cheryl Lyn Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Burlington Rd Ste 240, Jackson, OH 45640 Phone: 740-577-3492 Fax: 740-577-3451 | |
Geoffrey Scott Lewis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 84 E Mound St, Jackson, OH 45640 Phone: 740-577-3834 | |
Kaylee Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14761 State Route 93 Unit 4, Jackson, OH 45640 Phone: 740-577-3100 | |
Mikaila R Payne, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 E Main St Ste A, Jackson, OH 45640 Phone: 740-288-3767 Fax: 740-288-1111 | |
Amanda Rozena Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Burlington Rd Ste 240, Jackson, OH 45640 Phone: 740-286-5075 Fax: 740-395-8411 | |
Kimberly D Mcguire, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Burlington Rd Ste 240, Jackson, OH 45640 Phone: 740-577-3492 Fax: 740-577-3496 | |
Lacie Vanbibber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Mccarty Ln Ste 1, Jackson, OH 45640 Phone: 740-577-9003 |