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Contact Information

MELISSA FANNIN, LPCC
3701 LANSDOWNE DR
ASHLAND, KY41102
 Phone: 606-324-3005
 Fax: 606-329-1530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MELISSA FANNIN · (Female)

NPI # 1013120054
Status Active
Credentials LPCC
Entity Individual
Enumeration date 05/07/2007
Last updated 02/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 103173
  • KY Medicaid 7100280950
  • Other 000000532644 ANTHEM BCBS
  • Other 000000532644 ANTHEM BCBS (NON PAR)
  • Other 12656765 CAQH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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