Search › Illinois › 1041C0700X
Mary Fairchild, LCSW
NPI 1588771265 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6072 Brynwood Dr Ste 201
Rockford, IL 61114 - Phone
- (815) 520-6676
- Fax
- (866) 724-9612
- Organisation at this address
- Shiraz Tata Phd Llc
Connected Counseling
Kalm Oasis Therapy Llc
Beacon Of Enlightenment
Brynwood Counseling Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 461 North Mulford Road, Rockford, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-23
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 Illinois