ERIC G FANNIN

PIKETON, OH
NPI1952809527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  163209)
Enumeration Date2018-01-29
Last Update Date2018-01-29
Business Address
ERIC G FANNIN CDCA
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-493-4260
Mailing Address
ERIC G FANNIN CDCA
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-493-4260
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