Individual
MICHELLE D. FAIRBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-S, LMAC
Contact information
Practice address
2703 HALL ST STE 13, HAYS, KS 67601-1964
(785) 261-0694
(785) 261-0697
Mailing address
2703 HALL ST STE 13, HAYS, KS 67601-1964
(785) 261-0694
(785) 261-0697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2486
KS
Other
Enumeration date
07/10/2013
Last updated
05/03/2023
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