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Organization
JENNIFER FAIRBOURN LMFT, LLC
Active
Organization
JENNIFER FAIRBOURN LMFT, LLC
Active
Other names
Cottonwood Creek Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER FAIRBOURN MS (LMFT)
(801) 878-4327
Entity
Organization
Contact information
Practice address
7321 S STATE ST STE A, MIDVALE, UT 84047-6105
(801) 878-4327
(801) 878-9280
Mailing address
7321 S STATE ST STE A, MIDVALE, UT 84047-6105
(801) 878-4327
(801) 878-9280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
08/16/2022
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