person
Mr. Keith Anthony Fairclough JR., MS
Mental Health Counselor in Royal Palm Beach, Florida
NPI 1831563097

Keith Anthony Fairclough JR. is a Mental Health Counselor based in Royal Palm Beach, FL and is specialized in Mental Health. Keith Anthony Fairclough JR. practices in Royal Palm Beach, FL and has the professional credentials of MS. The NPI Number for Keith Anthony Fairclough JR. is 1831563097 and holds a License No. IMH12852 (Florida).

The current practice location address for Keith Anthony Fairclough JR. is 592 Calamint Pt, Royal Palm Beach, FL and can be reached out via phone at 850-566-8481.

Location: 592 Calamint Pt, Royal Palm Beach, FL, 33411-4212
person
Provider Profile Details
NPI Number
1831563097
Provider Name
Keith Anthony Fairclough JR.
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
592 Calamint Pt, Royal Palm Beach, FL, 33411-4212
Phone Number
850-566-8481
Fax Number
Provider Enumeration Date
11/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
592 Calamint Pt
City
State
Zip
33411-4212
Phone Number
850-566-8481
Fax Number
person
Provider Business Mailing Address Details
Address
592 Calamint Pt
City
State
Zip
33411-4212
Phone Number
850-566-8481
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMH12852 (Florida)
Definition
Definition to come...
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