Individual provider · Type 1 NPI

Allaina Terice Fair, LLBSW

Mental Health Counselor · Southgate, MI

NPI number 1710239488 Active

Practice location

14799 Dix Toledo Rd
Southgate, MI 48195-2507

Call (734) 324-8326 Map

Fax (734) 324-8327

Mailing address

15645 Dupage Blvd
Taylor, MI 48180-6025

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X680285581 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1710239488

Allaina Terice Fair, LLBSW's National Provider Identifier is 1710239488, issued on Oct 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southgate, MI. The record was last updated on Oct 5, 2012.