JONAH FAIR TLLPC, LLPC
NPI 1396597217
Counselor - Professional in Dearborn, MI
Active since April 03, 2024
About Jonah Fair Tllpc, Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONAH FAIR TLLPC, LLPC (NPI 1396597217) is an individual professional provider in Dearborn, Michigan, licensed in Michigan (6451023162) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1396597217
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONAH FAIRCredential: TLLPC, LLPC
Location Address6 PARKLANE BLVD STE 122Dearborn, MI 48126-4206
Mailing Address6 Parklane Blvd Ste 122Dearborn, MI 48126-4206 · (313) 649-7382
Phone(313) 649-7382
Sole ProprietorNo
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1396597217 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6451023162
6 PARKLANE BLVD STE 122, Dearborn, MI 48126
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396597217, enumerated as an "individual" on April 03, 2024.
The provider is located at 6 PARKLANE BLVD STE 122 DEARBORN, MI 48126 and the phone number is (313) 649-7382.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
