Fairclough, Maria Teresa

Fairclough, Maria Teresa is an sole proprietor health care provider with primary practice located at 2317 N Sherman Ave , Roswell NM 88201-6429. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fairclough, Maria Teresa can be contacted via phone (505) 227-5459.

Contact Information

Primary practice address
2317 N Sherman Ave Roswell NM 88201-6429
Phone: (505) 227-5459
Fax: (575) 623-1240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0115481 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-08576 New Mexico

Profile Details

NPI number 1679911259
LBN Legal business name Fairclough, Maria Teresa
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2013
Last updated Mar 3rd, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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