Anthony James Fair, MA QMHP

NPI #1376324871 in Sparta, Illinois

Provider Information

NPI Number: 1376324871
Entity Type: Individual
Name: Anthony James Fair, MA QMHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA QMHP
Enumeration Date: Oct 10, 2023
Last Updated: May 22, 2024

Practice Location

Address: 104 NORTHTOWN DR
City: Sparta
State: Illinois
ZIP Code: 62286-1081
Phone: (618) 282-6233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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