DR. William D Fairbanks, PH.D., LPC

NPI #1114901964 in Cheyenne, Wyoming

Provider Information

NPI Number: 1114901964
Entity Type: Individual
Name: DR. William D Fairbanks, PH.D., LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: PH.D., LPC
Enumeration Date: Dec 5, 2005
Last Updated: Mar 15, 2011

Practice Location

Address: 2526 SEYMOUR AVE
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3159
Phone: (307) 634-9653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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