JESSICA L FAMBRO CDCA
NPI 1457010787
Counselor - Addiction (Substance Use Disorder) in Mansfield, OH

Active since December 14, 2021
1017 HERRING AVE, MANSFIELD, OH 44906(614) 205-3563 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica L Fambro Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA L FAMBRO CDCA (NPI 1457010787) is an individual addiction (substance use disorder) provider in Mansfield, Ohio, licensed in Ohio (CDCA.179195) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1457010787
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA L FAMBROCredential: CDCA
Location Address1017 HERRING AVEMansfield, OH 44906-3910
Mailing Address1017 Herring AveMansfield, OH 44906-3910 · (614) 205-3563
Sole ProprietorYes
Enumeration DateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1457010787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · CDCA.179195
1017 HERRING AVE, Mansfield, OH 44906

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Fambro's NPI number?

The NPI number for Jessica Fambro is 1457010787. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is Jessica Fambro located?

Jessica Fambro practices at 1017 Herring Ave, Mansfield, OH 44906. The listed phone number is (614) 205-3563.

What is Jessica Fambro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Fambro was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.