Steven Fairbank, LAC, NCAC II

NPI #1942531017 in Thompson Falls, Montana

Provider Information

NPI Number
1942531017
Entity Type
Individual
Name
Steven Fairbank, LAC, NCAC II
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAC, NCAC II
Enumeration Date
Jan 28, 2010
Last Updated
Jan 28, 2010

Practice Location

Address
100 GRAVES CREEK RD
State
Montana
ZIP Code
59873-9400
Phone
(406) 827-9853

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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Provider Name
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