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Candace D Fair, LCSW
Counselor in Perryville, Missouri
NPI 1942317334

Candace D Fair is a Counselor based in Perryville, MO. Candace D Fair practices in Perryville, MO and has the professional credentials of LCSW. The NPI Number for Candace D Fair is 1942317334 and holds a License No. 005110 (Missouri).

The current practice location address for Candace D Fair is 12 N Kingshighway, Perryville, MO and can be reached out via phone at 573-547-3116.

Location: 12 N Kingshighway, Perryville, MO, 63775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942317334
Provider Name
Candace D Fair
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
12 N Kingshighway, Perryville, MO, 63775
Phone Number
573-547-3116
Fax Number
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114540 01 MO BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
12 N Kingshighway
City
Perryville
State
Missouri
Zip
63775
Phone Number
573-547-3116
Fax Number
person
Provider Business Mailing Address Details
Address
12 N Kingshighway
City
Perryville
State
Missouri
Zip
63775
Phone Number
573-547-3116
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
005110 (Missouri)
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.
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