| 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 | Mental Health Counselor |
| Experience | 4 Years |
| Location | 120 Twin Oaks Dr, Jackson, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Services For Behavioral Health | 9234372525 | 31 |
| Entity Name | Integrated Services For Behavioral Health |
|---|---|
| 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 |