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Emma Grace Fairchild
NPI 1629546528 · on the registry since 2018
Practice
- Address
- 1700 Yulupa Ave
Santa Rosa, CA 95405 - Phone
- (707) 800-5614
- Organisation at this address
- Buckelew Programs
Individual'S Now, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-08
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 California