Sandra L Fairbanks, MA
Counselor in Greeley, CO. Individual provider (NPI-1).
NPI number1124411368
StatusActive
Last updated in NPPESMar 12, 2015
Details
- NPI
- 1124411368
- Entity type
- Individual (NPI-1)
- Name
- Sandra L Fairbanks
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2015
- Last updated
- Mar 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LPCC.0014194 | CO | Yes |
Practice location
928 12th StGreeley, CO 80631-4024
Phone 970-347-2120
Mailing address
1300 N 17th AveGreeley, CO 80631-9584
Phone 970-347-2120
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