Organization
FAIRCHILD COUNSELING LLC
Active
Organization
FAIRCHILD COUNSELING LLC
Active
Other names
Connie M Fairchild MA LPC CAC I
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE M FAIRCHILD MA LPC CAC I (PRESIDENT SINGLE ENTITY LLC)
(719) 291-5623
Entity
Organization
Contact information
Practice address
315 E DALE ST, COLORADO SPRINGS, CO 80903-1102
(719) 291-5623
(719) 473-4066
Mailing address
PO BOX 2687, COLORADO SPRINGS, CO 80901-2687
(719) 291-5623
(719) 473-4066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5708
CO
101YP2500X
Professional Counselor
Primary
1385
CO
Other
Enumeration date
05/11/2007
Last updated
09/23/2014
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