Fairbank Counseling, Pllc | |
2 6th Ave E Polson MT 59860-2726 | |
(406) 214-3137 | |
Not Available |
Full Name | Fairbank Counseling, Pllc |
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Speciality | Social Worker - Clinical |
Location | 2 6th Ave E, Polson, Montana |
Authorized Official Name and Position | Coyote Fairbank (OWNER) |
Authorized Official Contact | 4062143137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairbank Counseling, Pllc Po Box 181 Polson MT 59860-0181 Ph: (406) 214-3137 | Fairbank Counseling, Pllc 2 6th Ave E Polson MT 59860-2726 Ph: (406) 214-3137 |
NPI Number | 1396410130 |
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Provider Enumeration Date | 08/13/2021 |
Last Update Date | 08/13/2021 |
Certification Date | 08/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396410130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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