Individual provider · Type 1 NPI

Barbara Jean Fairfax, LPC

Mental Health Counselor · Myrtle Beach, SC

NPI number 1093193096 Active

Practice location

220 Ronnie Ct Ste 2
Myrtle Beach, SC 29579-4192

Mailing address

583 Old Cartrette Rd
Clarendon, NC 28432-8819

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA11193 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1093193096

Barbara Jean Fairfax, LPC's National Provider Identifier is 1093193096, issued on May 11, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Myrtle Beach, SC. The record was last updated on May 16, 2022.