Individual provider · Type 1 NPI
Colleen Fairclough, MED, RN, CPSS
Counselor · Detroit, MI
NPI number
1831511997
Active
Practice location
24424 W Mcnichols Rd
Detroit, MI 48219-3653
Fax (313) 255-1795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1831511997
Colleen Fairclough, MED, RN, CPSS's National Provider Identifier is 1831511997, issued on Jan 9, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Jan 9, 2014.