JANICE LYNN FAIRBANK

PHOENIX, AZ
NPI1255051298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-155297)
Enumeration Date2022-08-30
Last Update Date2024-02-12
Business Address
Ms. JANICE LYNN FAIRBANK MA, LISAC, LAC
2102 W BETHANY HOME RD
PHOENIX, AZ 85015-1935
Phone number: 602-774-4745
Mailing Address
Ms. JANICE LYNN FAIRBANK MA, LISAC, LAC
5250 N 20TH ST APT 117
PHOENIX, AZ 85016-3346
Phone number: 602-488-7417
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