Individual provider · Type 1 NPI

Keith Anthony Fairclough Jr., LMHC, CPC, ACS

Mental Health Counselor · Las Vegas, NV

NPI number 1831563097 Active

Practice location

1300 S Jones Blvd Ste 250
Las Vegas, NV 89146-1210

Call (561) 309-3507 Map

Fax (702) 975-1022

Mailing address

9224 Tudor Park Pl
Las Vegas, NV 89145-8726

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMH15958 (FL)
Mental Health Counselor Primary 101YM0800XCP3002-R (NV)

Mental Health Counselor: Definition to come...

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About NPI 1831563097

Keith Anthony Fairclough Jr., LMHC, CPC, ACS's National Provider Identifier is 1831563097, issued on Nov 25, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 27, 2026.