KEITH A FAIRCLOUGH, II
Mental Health at Calamint Pt, West Palm Beach, FL

License number
Florida 12852
Issued Date
Oct 7, 2014
Effective Date
Mar 25, 2015
Expiration Date
Mar 31, 2022
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address
592 Calamint Pt, West Palm Beach, FL 33411
Phone
(850) 566-8481
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about KEITH A FAIRCLOUGH at bizstanding.com

KEITH A. FAIRCLOUGH, SR., PA

West Palm Beach, FL  -  Town of Loxahatchee Groves, FL

Status:
Inactive
Industry:
Nonclassifiable Establishments
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 23, 2005
Inactive since:
Sep 26, 2008
Addresses:
13591 Greentree Trl, West Palm Beach, FL 33414 (Physical)
Loxahatchee, FL 33470 (Mailing)
PO Box 1133, Town of Loxahatchee Groves, FL 33470
State ID:
P05000043645
Business type:
Florida Profit Corporation
President, Secretary, Vice Presidents:
Adrian Fairclough President, Treasurer, Director, inactive, 13591 Greentree Trl, West Palm Beach, FL 33414 (Physical),Sonia Fairclough President, Secretary, Vice President, inactive, 13591 Greentree Trl, West Palm Beach, FL 33414 (Physical)
Agent:
Fairclough, Adrian,13591 Greentree Trl, West Palm Beach, FL 33414 (Physical)
EIN:
20-2552052

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