INDY FAIRBANKS

Social Worker - Clinical

Active Individual
NPI: 1013267756

Practice Address

402 N RIVER ST STE 200
Derby, KS 67037

Phone: (316) 409-0565

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 647 (KS)
Social Worker - Clinical 1041C0700X Yes 4661 (KS)

Frequently Asked Questions

NPI 1013267756 is the National Provider Identifier for INDY FAIRBANKS, a Social Worker - Clinical provider located in Derby, KS. This NPI was enumerated on September 10, 2012.
INDY FAIRBANKS practices at 402 N RIVER ST STE 200, Derby, KS 67037.

Quick Facts

NPI
1013267756
Type
Individual
Enumerated
Sep 10, 2012
Last Updated
Dec 16, 2025

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