Individual
BAYLEE FAIRHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 BAKER AVENUE EXT STE 100, CONCORD, MA 01742-2132
(978) 369-1113
Mailing address
21 CRAIGIE ST # 3, SOMERVILLE, MA 02143-2401
(203) 592-9091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2019
Last updated
08/24/2022
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