Individual
KURTIS HUNT FAIRBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
100 GRAVES CREEK RD, THOMPSON FALLS, MT 59873-9400
(406) 827-9853
Mailing address
PO BOX 1310, THOMPSON FALLS, MT 59873-1310
(406) 827-9853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1205
MT
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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