# JESSE FAIRCHILD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bodhi Counseling, Bodhi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467724013
- **Authorized official:** JANICE LESLIE FAIRCHILD CHAVERO (PRACTICE OWNER)
- **Authorized official phone:** (443) 877-4044

## Contact information

- **Practice address:** 2057 PULASKI HWY STE 4, NORTH EAST, MD 21901-3744
- **Practice address phone:** (443) 877-4044
- **Practice address fax:** (443) 967-0077
- **Mailing address:** 2057 PULASKI HWY STE 4, NORTH EAST, MD 21901-3744
- **Mailing address phone:** (443) 877-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LC2857 | MD | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 221700000X | Art Therapist | — | NULL | — |
| 221700000X | Art Therapist | — | — | — |

## Other

- **Enumeration date:** 01/29/2012
- **Last updated:** 01/10/2026