Individual
BRADLEY KENT FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1200 E COLLINS BLVD, SUITE 300, RICHARDSON, TX 75081-2457
(972) 669-1733
Mailing address
2100 STONEGATE DR, CARROLLTON, TX 75010-4132
(972) 978-8175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12930
TX
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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