| Tara Kim Fairbanks, CAP - 207 | |
|
1430 Wilkins Cir, Casper, WY 82601-1336 | |
| (307) 237-9588 | |
| Not Available |
| Full Name | Tara Kim Fairbanks |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1430 Wilkins Cir, Casper, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780402115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 207 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Kim Fairbanks, CAP - 207 2424 E 9th St, Casper, WY 82609-2838 Ph: (307) 267-7253 | Tara Kim Fairbanks, CAP - 207 1430 Wilkins Cir, Casper, WY 82601-1336 Ph: (307) 237-9588 |
Miss Jane Elizabeth Matthews, M.S., P.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Daniel J Gallegos, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Micro Rd, Casper, WY 82601 Phone: 307-262-9961 | |
Heather Paige Thomas, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St Ste 212, Casper, WY 82601 Phone: 307-577-3050 | |
Emily Kathrine Engel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St Ste 104, Casper, WY 82601 Phone: 307-462-4876 Fax: 307-337-3492 | |
Mrs. Martha Jane Carter, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Michelle Grissom, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Mr. Scott Alan Stinson, BSW, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Payne Ave, Casper, WY 82609 Phone: 307-267-4626 |