| Paul Douglas Fairbanks, NCC, LCPC | |
|
1047 Cannell Ct, Rockton, IL 61072-1596 | |
| (815) 566-0466 | |
| Not Available |
| Full Name | Paul Douglas Fairbanks |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1047 Cannell Ct, Rockton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356748578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180011693 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Douglas Fairbanks, NCC, LCPC 1047 Cannell Ct, Rockton, IL 61072-1596 Ph: (815) 566-0466 | Paul Douglas Fairbanks, NCC, LCPC 1047 Cannell Ct, Rockton, IL 61072-1596 Ph: (815) 566-0466 |
Kathleen Beth Mcguire, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1116 Cannell Ct, Rockton, IL 61072 Phone: 815-509-7424 | |
Brandi M Lander, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1107 N. Blackhawk Blvd, Suite 8, Rockton, IL 61072 Phone: 815-519-1074 Fax: 815-977-5929 | |
Joshua Vos, Counselor Medicare: Medicare Enrolled Practice Location: 1047 Cannell Ct, Rockton, IL 61072 Phone: 815-957-0115 |