Barbara Jean Fairfax, LPC
NPI #1093193096 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1093193096
- Entity Type
- Individual
- Name
- Barbara Jean Fairfax, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- May 11, 2015
- Last Updated
- May 16, 2022
Practice Location
- Address
- 220 RONNIE CT STE 2
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-4192
- Phone
- (910) 880-0575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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