STEVEN FAIRBANK

THOMPSON FALLS, MT
NPI1942531017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  407)
Enumeration Date2010-01-28
Last Update Date2010-01-28
Business Address
-- STEVEN FAIRBANK LAC, NCAC II
100 GRAVES CREEK RD
THOMPSON FALLS, MT 59873-9400
Phone number: 406-827-9853
Mailing Address
-- STEVEN FAIRBANK LAC, NCAC II
PO BOX 1310
THOMPSON FALLS, MT 59873-1310
Phone number: 406-827-9853
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