Search › New Jersey › 1041C0700X
Keana Fairfax, MSW, LCSW
NPI 1588376891 · on the registry since 2022
Practice
- Address
- 535 Monmouth St
Gloucester City, NJ 08030 - Phone
- (609) 920-3848
- Organisation at this address
- Dag Gc Pa
A Space For Us Counseling
Healthy Smiles Of Gloucester CityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey