Individual
BREANNA FOSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162533
OH
1041C0700X
Clinical Social Worker
Primary
I.2405843
OH
Other
Enumeration date
06/09/2021
Last updated
10/29/2025
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