Individual provider · Type 1 NPI
Fairlie McCollough, ACSW
Mental Health Counselor · Los Angeles, CA
NPI number
1760150726
Active
Practice location
470 E 3rd St, Suite C
Los Angeles, CA 90013-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 105404 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1760150726
Fairlie McCollough, ACSW's National Provider Identifier is 1760150726, issued on Sep 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 15, 2021.