Individual
MS. CONNIE M FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC CAC I
Contact information
Practice address
315 E DALE ST, COLORADO SPRINGS, CO 80903-1102
(719) 291-5623
(219) 473-4066
Mailing address
PO BOX 2687, COLORADO SPRINGS, CO 80901-2687
(719) 291-5623
(219) 473-4066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5708CAC
CO
101YP2500X
Professional Counselor
Primary
LPC1385
CO
Other
Enumeration date
12/05/2006
Last updated
09/23/2014
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