Individual provider · Type 1 NPI
Anthony James Fair, MA QMHP
Mental Health Counselor · Sparta, IL
NPI number
1376324871
Active
Practice location
104 Northtown Dr
Sparta, IL 62286-1081
Mailing address
10257 State Route 3
Red Bud, IL 62278-4418
Other practice locations
- 10257 State Route 3, Red Bud, IL 62278-4418 · (618) 282-6233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 2437595 (IL) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Sparta
About NPI 1376324871
Anthony James Fair, MA QMHP's National Provider Identifier is 1376324871, issued on Oct 10, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sparta, IL. The record was last updated on May 22, 2024.