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MRS. KELLI JEAN FAIRRIS M.S.E., L.P.C

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1326220856

Individual Registrant:
MRS. KELLI JEAN FAIRRIS M.S.E., L.P.C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1658 US HIGHWAY 371  PRESCOTT, AR 71857-7064 US
Tel: 870-887-3660  Fax: 870-887-3705

Contact information for business:
1658 US HIGHWAY 371 PO BOX 357 PRESCOTT, AR 71857-7064 US
Tel: 870-887-3660  Fax: 870-887-3705

Registration Information:
NPI: 1326220856
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
ARP1011073

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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