Individual provider · Type 1 NPI
Carol Sue Fairless, RN
Psychiatric/Mental Health Registered Nurse · Vienna, IL
NPI number
1619080082
Active
Practice location
408 E Vine St
Vienna, IL 62995-1612
Fax (618) 658-2501
Mailing address
303 Country Vlg
Vienna, IL 62995-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | None listed |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | None listed |
Psychiatric/Mental Health Registered Nurse: Definition to come...
35 other providers at this address
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- Amy Johnson, B.A.Counselor Vienna, IL NPI 1528443769
- Andrea Aird, MHPCounselor Vienna, IL NPI 1245606599
- Bianca Chantal Brown, MSE, QMHPMental Health Counselor Vienna, IL NPI 1538342555
- Brandi Campbell, BA, MHPCounselor Vienna, IL NPI 1184822447
- Brandon Shane Radcliffe, BS, MHPMental Health Counselor Vienna, IL NPI 1578707857
- Brenda S. Ashley, BS, MHPAddiction (Substance Use Disorder) Counselor Vienna, IL NPI 1275766222
- Connie Larae Duncan, LCSWClinical Social Worker Vienna, IL NPI 1497849749
- Courtney Darlene Penrod, BS MHPMental Health Counselor Vienna, IL NPI 1629375779
- Cynthia Tremblay, COTA L, QMRPMental Health Counselor Vienna, IL NPI 1700925237
About NPI 1619080082
Carol Sue Fairless, RN's National Provider Identifier is 1619080082, issued on Aug 17, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Vienna, IL. The record was last updated on Sep 11, 2025.