Doctor Name: | ROCHELLE FAIR |
NPI Number: | 1699853986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R44924 |
Business Practice Address: | 422 N Sebastian West Helena, AR - 723901935 |
Business Phone Number: | 8705721800 |
Business Fax Number: | 8705721809 |
Mailing Address: | 920 Norman St, WEST HELENA |
State: | AR |
Postal Code: | 723902020 |
Phone Number: | 8703383548 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R44924 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |