Individual
REBA FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
490 JEFFERS STREET, DUBOIS, PA 15801
(814) 371-3671
Mailing address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701
(724) 465-5576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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