LEAH MARIE FAIRBANK

SANTA ROSA, CA
NPI1639737471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  113527)
Enumeration Date2019-06-05
Last Update Date2019-06-05
Business Address
LEAH MARIE FAIRBANK AMFT
534 B ST
SANTA ROSA, CA 95401-5211
Phone number: 707-579-0465
Mailing Address
LEAH MARIE FAIRBANK AMFT
10 COURT LN
FAIRFAX, CA 94930-1602
Phone number: 646-895-2495