Individual
AMIEE FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 HAYWOOD DR, RAEFORD, NC 28376-5314
(404) 702-4294
Mailing address
143 HAYWOOD DR, RAEFORD, NC 28376-5314
(404) 702-4294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17039
NC
Other
Enumeration date
01/22/2025
Last updated
02/17/2025
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