Individual
VANESSA ANNE FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
690 S HWY 89 STE 201, JACKSON, WY 83001-8508
(307) 200-7111
Mailing address
PO BOX 9075, JACKSON, WY 83002-9075
(307) 200-7111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L16413
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-1284
WY
1041C0700X
Clinical Social Worker
LCSW-40159
ID
1041C0700X
Clinical Social Worker
PCSW-778
WY
Other
Enumeration date
04/16/2018
Last updated
01/22/2026
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