person
Anthony James Fair, QMHP
Mental Health Counselor in Sparta, Illinois
NPI 1376324871

Anthony James Fair is a Mental Health Counselor based in Red Bud, IL and is specialized in Mental Health. Anthony James Fair practices in Sparta, IL and has the professional credentials of QMHP. The NPI Number for Anthony James Fair is 1376324871 and holds a License No. 2437595 (Illinois).

The current practice location address for Anthony James Fair is 104 Northtown Rd, Sparta, IL and can be reached out via phone at 681-282-6233.

Location: 104 Northtown Rd, Sparta, IL, 62278-4418
person
Provider Profile Details
NPI Number
1376324871
Provider Name
Anthony James Fair
Credential
QMHP
Provider Entity Type
Individual
Gender
Male
Address
104 Northtown Rd, Sparta, IL, 62278-4418
Phone Number
681-282-6233
Fax Number
Provider Enumeration Date
10/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 Northtown Rd
City
State
Zip
62286-1081
Phone Number
681-282-6233
Fax Number
person
Provider Business Mailing Address Details
Address
104 Northtown Rd
City
State
Zip
62286-1081
Phone Number
681-282-6233
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
2437595 (Illinois)
Definition
Definition to come...
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