Individual
JESSICA FAIRFAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
205 BRYCE CIR STE B, SIMPSONVILLE, SC 29681-4842
(864) 408-8949
Mailing address
205 BRYCE CIR STE B, SIMPSONVILLE, SC 29681-4842
(864) 408-8949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
SC
Other
Enumeration date
09/14/2017
Last updated
12/30/2021
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