TARA FAIRBANKS, CAP - 207
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1780402115
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 207 (WY) |
Frequently Asked Questions
NPI 1780402115 is the National Provider Identifier for TARA FAIRBANKS, CAP - 207, a Counselor - Addiction (Substance Use Disorder) provider located in Casper, WY. This NPI was enumerated on October 3, 2024.
TARA FAIRBANKS, CAP - 207 practices at 1430 WILKINS CIR, Casper, WY 82601.
Quick Facts
- NPI
- 1780402115
- Type
- Individual
- Enumerated
- Oct 3, 2024
- Last Updated
- Oct 17, 2024
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