Individual
COURTNI DENISE FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-R
Contact information
Practice address
1014 WALLA WALLA AVE, WENATCHEE, WA 98801-1523
(509) 663-0034
(509) 663-3726
Mailing address
1014 WALLA WALLA AVE, WENATCHEE, WA 98801-1523
(509) 663-0034
(509) 663-3726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60803223
WA
Other
Enumeration date
12/04/2017
Last updated
03/17/2018
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