Individual provider · Type 1 NPI

Marvell Fair Sr.

Mental Health Counselor · Memphis, TN

NPI number 1407073869 Active

Practice location

427 Linden Ave
Memphis, TN 38126-2023

Fax (901) 577-0229

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407073869

Marvell Fair Sr.'s National Provider Identifier is 1407073869, issued on Apr 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.