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 |