JEFFREY R FAIRCHILD

LOS ANGELES, CA
NPI1730489725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-10-25
Last Update Date2010-10-25
Business Address
Mr. JEFFREY R FAIRCHILD ACADC
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-988-3744
Mailing Address
Mr. JEFFREY R FAIRCHILD ACADC
909 N INGLEWOOD AVE APT 2
INGLEWOOD, CA 90302-3735
Phone number: 424-227-2289