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Emma Grace Fairchild
Mental Health Counselor in Santa Rosa, California
NPI 1629546528

Emma Grace Fairchild is a Mental Health Counselor based in Santa Rosa, CA and is specialized in Mental Health. Emma Grace Fairchild practices in Santa Rosa, CA. The NPI Number for Emma Grace Fairchild is 1629546528 and holds a License No. (California).

The current practice location address for Emma Grace Fairchild is 1700 Yulupa Ave, Santa Rosa, CA and can be reached out via phone at 707-800-5614.

Location: 1700 Yulupa Ave, Santa Rosa, CA, 95405-7721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629546528
Provider Name
Emma Grace Fairchild
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 Yulupa Ave, Santa Rosa, CA, 95405-7721
Phone Number
707-800-5614
Fax Number
Provider Enumeration Date
11/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 Yulupa Ave
City
Santa Rosa
State
California
Zip
95405-7721
Phone Number
707-800-5614
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Yulupa Ave
City
Santa Rosa
State
California
Zip
95405-7721
Phone Number
707-800-5614
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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