| NPI | 1760239354 |
|---|---|
| Doing Business As | MICHELLE FAIRBANK, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE FAIRBANK Mental Health Provider 785-261-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |