Individual
DR. CHRISTINE A. FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PHD
Contact information
Practice address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 740-3052
(419) 893-0475
Mailing address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 740-3052
(419) 893-0475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC-12330
AZ
103T00000X
Psychologist
3985
AZ
103TC0700X
Clinical Psychologist
1197
HI
103TC0700X
Clinical Psychologist
Primary
7294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163573
—
OH
Enumeration date
11/21/2007
Last updated
02/10/2023
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