Individual
MS. JENNIFER FAIRBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
7321 S STATE ST, SUITE A, MIDVALE, UT 84047-2055
(801) 878-4327
(801) 878-9280
Mailing address
7321 S STATE ST, SUITE A, MIDVALE, UT 84047-2055
(801) 878-4327
(801) 878-9280
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7007405-3902
UT
Other
Enumeration date
03/26/2008
Last updated
02/09/2016
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