Individual
KARA FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
79 MILL ST, MIDDLETOWN, CT 06457-4468
(860) 258-6060
Mailing address
79 MILL ST, MIDDLETOWN, CT 06457-4468
(860) 258-6060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1930
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972964898
WELL LIFE THERAPY, LLC
CT
Enumeration date
07/19/2017
Last updated
07/21/2022
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