Individual
AMY EILEEN FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PSYCHOLOGY, RBT
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/23/2016
Last updated
02/19/2024
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