Individual provider · Type 1 NPI
Jessica L. Fambro, CDCA
Addiction (Substance Use Disorder) Counselor · Mansfield, OH
NPI number
1457010787
Active
Practice location
1017 Herring Ave
Mansfield, OH 44906-3910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.179195 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457010787
Jessica L. Fambro, CDCA's National Provider Identifier is 1457010787, issued on Dec 14, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Dec 14, 2021.