Jacklyn Ann Fairchild, P.C., N.C.C

NPI #1063832830 in Berea, Ohio

Provider Information

NPI Number: 1063832830
Entity Type: Individual
Name: Jacklyn Ann Fairchild, P.C., N.C.C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: P.C., N.C.C
Enumeration Date: Apr 21, 2014
Last Updated: Apr 21, 2014

Practice Location

Address: 202 E BAGLEY RD
City: Berea
State: Ohio
ZIP Code: 44017-2058
Phone: (440) 260-8453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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