Ms Janice Lynn Fairbank, MA, LISAC, LAC - Counselor in Phoenix, AZ

Ms Janice Lynn Fairbank, MA, LISAC, LAC is a Counselor - Addiction (substance Use Disorder) based in Phoenix, Arizona. Ms Janice Lynn Fairbank is licensed to practice in Arizona (license number LISAC-155297) and her current practice location is 2102 W Bethany Home Rd, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 774-4745.

NPI number for Ms Janice Lynn Fairbank is 1255051298 and her current mailing address is 5250 N 20th St Apt 117, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255051298.

Contact Information

Ms Janice Lynn Fairbank, MA, LISAC, LAC
2102 W Bethany Home Rd,
Phoenix, AZ 85015-1935
(602) 774-4745
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Janice Lynn Fairbank
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2102 W Bethany Home Rd, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255051298
  • Provider Enumeration Date: 08/30/2022
  • Last Update Date: 02/12/2024

Medical Identifiers

Medical identifiers for Ms Janice Lynn Fairbank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255051298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LISAC-155297 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Janice Lynn Fairbank is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Janice Lynn Fairbank, MA, LISAC, LAC
5250 N 20th St Apt 117,
Phoenix, AZ 85016-3346

Ph: (602) 488-7417
Ms Janice Lynn Fairbank, MA, LISAC, LAC
2102 W Bethany Home Rd,
Phoenix, AZ 85015-1935

Ph: (602) 774-4745

Reviews and Comments


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