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Elena Maria Fairley, MS
Professional Counselor in Gulfport, Mississippi
NPI 1548471188

Elena Maria Fairley is a Professional Counselor based in Saucier, MS and is specialized in Professional. Elena Maria Fairley practices in Gulfport, MS and has the professional credentials of MS. The NPI Number for Elena Maria Fairley is 1548471188 and holds a License No. (Mississippi).

The current practice location address for Elena Maria Fairley is 11352 Mia Cir, Gulfport, MS and can be reached out via phone at 228-265-0755.

Location: 11352 Mia Cir, Gulfport, MS, 39574-3882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548471188
Provider Name
Elena Maria Fairley
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
11352 Mia Cir, Gulfport, MS, 39574-3882
Phone Number
228-265-0755
Fax Number
Provider Enumeration Date
05/25/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018214 05 MS
institution
Provider Business Practice Location Address Details
Address
11352 Mia Cir
City
Gulfport
State
Mississippi
Zip
39503-3882
Phone Number
228-265-0755
Fax Number
person
Provider Business Mailing Address Details
Address
11352 Mia Cir
City
Gulfport
State
Mississippi
Zip
39503-3882
Phone Number
228-265-0755
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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