Fairbank Counseling, Pllc

NPI #1396410130 in Polson, Montana

Provider Information

NPI Number
1396410130
Entity Type
Organization
Organization Name
Fairbank Counseling, Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Aug 13, 2021
Last Updated
Aug 13, 2021

Practice Location

Address
2 6TH AVE E
City
Polson
State
Montana
ZIP Code
59860-2726
Phone
(406) 214-3137

Authorized Official

Name
COYOTE FAIRBANK, LCSW
Title
OWNER
Phone
(406) 214-3137

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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