Individual
ZACHARY FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 E 5TH ST, NEWPORT, KY 41071-1618
(859) 578-3200
(859) 534-2627
Mailing address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
300170
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/16/2020
Last updated
08/27/2025
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