Individual
MS. BEVERLY WHITEHEAD FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LCPC, NCC
Contact information
Practice address
953 HOFFMASTER RD, KNOXVILLE, MD 21758-1216
(301) 834-6039
Mailing address
953 HOFFMASTER RD, KNOXVILLE, MD 21758-1216
(301) 834-6039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCO350
MD
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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