| NPI | 1952516338 |
|---|---|
| Doing Business As | CONNIE M FAIRCHILD MA LPC CAC I |
| Entity Type | Organization |
| Authorized Contact | CONNIE M FAIRCHILD President Single Entity LLC 719-291-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 1385) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 5708) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2014-09-23 |