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 City
Inferred 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