Fairlane Counseling Associates
NPI #1568881084 in Chesterfield, Virginia
Provider Information
- NPI Number
- 1568881084
- Entity Type
- Organization
- Organization Name
- Fairlane Counseling Associates
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 11, 2014
- Last Updated
- Jan 15, 2015
Practice Location
- Address
- 9846 LORI RD.
- Address 2
- STE 201
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23832
- Phone
- (804) 419-4122
Authorized Official
- Name
- MS. CHRISTINA LEE BLAYLOCK, LCSW
- Title
- OWNER
- Phone
- (804) 419-4122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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