Joseph Dwayne Fairchild, LPCC | |
330 25th St, Ashland, KY 41101-7820 | |
(606) 329-8588 | |
Not Available |
Full Name | Joseph Dwayne Fairchild |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 330 25th St, Ashland, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164712667 | NPI | - | NPPES |
7100280980 | Medicaid | KY | |
12708338 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 103514 (Kentucky) | Primary |
101YP2500X | Counselor - Professional | 103514 (Kansas) | Secondary |
Entity Name | Pathways Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
Mailing Address | Practice Location Address |
---|---|
Joseph Dwayne Fairchild, LPCC Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Joseph Dwayne Fairchild, LPCC 330 25th St, Ashland, KY 41101-7820 Ph: (606) 329-8588 |
Brandi Dunn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Landsdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-1530 | |
Kenneth Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 22nd St, Ashland, KY 41101 Phone: 606-324-1141 | |
Ashley Hamm, MHA INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Landsdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-1530 | |
Melissa Fannin, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Lansdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-1530 | |
Cynthia Lynn Barker, L.P.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10730 Midland Trail Rd, Ashland, KY 41102 Phone: 606-928-0150 | |
Michelle Horton, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 22nd St, Ashland, KY 41101 Phone: 606-324-1141 Fax: 606-325-2525 | |
Brittany Winters, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Landsdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-8850 |