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
—
—
Other
Enumeration date
09/28/2018
Last updated
08/16/2022
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