Individual
EVELINA FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCI
Contact information
Practice address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 473-6370
(843) 524-8179
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 473-6370
(843) 524-8179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5826
SC
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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