GEOFFREY S FANNIN

PORTSMOUTH, OH
NPI1952036733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA.1800093)
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
MR. GEOFFREY S FANNIN
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 740-901-0416
Mailing Address
MR. GEOFFREY S FANNIN
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 937-260-5652