| Fair Counseling, Llc | |
|
1241 Mall Dr North Chesterfield VA 23235-4879 | |
| (804) 821-1008 | |
| (804) 821-1008 |
| Full Name | Fair Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1241 Mall Dr, North Chesterfield, Virginia |
| Authorized Official Name and Position | Joshua Fair (OWNER) |
| Authorized Official Contact | 8043187264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Counseling, Llc 1241 Mall Dr North Chesterfield VA 23235-4879 Ph: (804) 413-6616 | Fair Counseling, Llc 1241 Mall Dr North Chesterfield VA 23235-4879 Ph: (804) 821-1008 |
| NPI Number | 1205699345 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 4981045424 |
|---|---|
| Medicare Enrollment ID | O20240514004382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205699345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Joshua Fair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649864026 PECOS PAC ID: 5890136337 Enrollment ID: I20240515000005 |
| Provider Name | Jennifer Perkinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215355458 PECOS PAC ID: 6709227242 Enrollment ID: I20240520001060 |
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