Individual
MEGHAN FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.C.
Contact information
Practice address
960 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4220
(330) 953-1977
(330) 953-2555
Mailing address
6841 PAXTON RD, BOARDMAN, OH 44512-4531
(330) 509-1331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
E.0500277
OH
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175590
—
OH
Enumeration date
10/21/2008
Last updated
01/21/2019
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