Darcey Fairchild, Lcsw, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Missoula, MT. Organization (NPI-2).
NPI number1922579218
StatusActive
Last updated in NPPESDec 11, 2018
Details
- NPI
- 1922579218
- Entity type
- Organization (NPI-2)
- Legal business name
- Darcey Fairchild, Lcsw, LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2018
- Last updated
- Dec 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1018 Burlington Ave Ste 206Missoula, MT 59801-5666
Phone 406-599-7780
Mailing address
1018 Burlington Ave Ste 206Missoula, MT 59801-5666
Phone 406-599-7780
Authorized official
Darcey Sant Fairchild
Owner/Clinician
4065997780
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