Lea Fairbanks, LMHC

NPI #1194222893 in Shoreline, Washington

Provider Information

NPI Number: 1194222893
Entity Type: Individual
Name: Lea Fairbanks, LMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LMHC
Enumeration Date: Apr 9, 2018
Last Updated: Apr 9, 2018

Practice Location

Address: 15803 9TH AVE NE
City: Shoreline
State: Washington
ZIP Code: 98155-6244
Phone: (425) 931-6274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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