| Darcey Fairchild, Lcsw, Llc | |
|
1018 Burlington Ave Ste 206 Missoula MT 59801-5666 | |
| (406) 599-7780 | |
| Not Available |
| Full Name | Darcey Fairchild, Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1018 Burlington Ave Ste 206, Missoula, Montana |
| Authorized Official Name and Position | Darcey Sant Fairchild (OWNER/CLINICIAN) |
| Authorized Official Contact | 4065997780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darcey Fairchild, Lcsw, Llc 1018 Burlington Ave Ste 206 Missoula MT 59801-5666 Ph: (406) 599-7780 | Darcey Fairchild, Lcsw, Llc 1018 Burlington Ave Ste 206 Missoula MT 59801-5666 Ph: (406) 599-7780 |
| NPI Number | 1922579218 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922579218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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