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Joseph Dwayne Fairchild, LPCC
Professional Counselor in Ashland, Kentucky
NPI 1164712667

Joseph Dwayne Fairchild is a Professional Counselor based in Ashland, KY and is specialized in Professional. Joseph Dwayne Fairchild practices in Ashland, KY and has the professional credentials of LPCC. The NPI Number for Joseph Dwayne Fairchild is 1164712667 and holds a License No. 103514 (Kentucky).

The current practice location address for Joseph Dwayne Fairchild is 330 25Th St, Ashland, KY and can be reached out via phone at 606-329-8588.

Location: 330 25Th St, Ashland, KY, 41105-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164712667
Provider Name
Joseph Dwayne Fairchild
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
330 25Th St, Ashland, KY, 41105-0790
Phone Number
606-329-8588
Fax Number
Provider Enumeration Date
04/18/2011
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100280980 05 KY
12708338 01 CAQH
institution
Provider Business Practice Location Address Details
Address
330 25Th St
City
Ashland
State
Kentucky
Zip
41101-7820
Phone Number
606-329-8588
Fax Number
person
Provider Business Mailing Address Details
Address
330 25Th St
City
Ashland
State
Kentucky
Zip
41101-7820
Phone Number
606-329-8588
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
103514 (Kentucky)
Definition
Definition to come...
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