Individual
DR. CHRISTINA LYNNE DALKE FAIRBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2013040131
MO
103TC1900X
Counseling Psychologist
T-LMLP 2424
KS
Other
Enumeration date
12/11/2012
Last updated
01/25/2022
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