Individual
ALLYSON FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9030 58TH DR E STE 103, BRADENTON, FL 34202-6108
(941) 567-5207
(888) 769-9093
Mailing address
9030 58TH DR E STE 103, BRADENTON, FL 34202-6108
(941) 567-5207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH20614
FL
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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