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Mr. Joseph Fairbanks, LPC,CEAP,NCC
Professional Counselor in Lake Geneva, Wisconsin
NPI 1073507067

Joseph Fairbanks is a Professional Counselor based in Milwaukee, WI and is specialized in Professional. Joseph Fairbanks practices in Lake Geneva, WI and has the professional credentials of LPC,CEAP,NCC. The NPI Number for Joseph Fairbanks is 1073507067 and holds a License No. 2954-125 (Wisconsin).

The current practice location address for Joseph Fairbanks is 146 E Geneva Sq, Lake Geneva, WI and can be reached out via phone at 877-666-7223.

Location: 146 E Geneva Sq, Lake Geneva, WI, 53215-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073507067
Provider Name
Joseph Fairbanks
Credential
LPC,CEAP,NCC
Provider Entity Type
Individual
Gender
Male
Address
146 E Geneva Sq, Lake Geneva, WI, 53215-2843
Phone Number
877-666-7223
Fax Number
Provider Enumeration Date
09/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43561200 05 WI
2954-125 01 WI LICENSE #
institution
Provider Business Practice Location Address Details
Address
146 E Geneva Sq
City
Lake Geneva
State
Wisconsin
Zip
53147-9694
Phone Number
877-666-7223
Fax Number
person
Provider Business Mailing Address Details
Address
146 E Geneva Sq
City
Lake Geneva
State
Wisconsin
Zip
53147-9694
Phone Number
877-666-7223
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2954-125 (Wisconsin)
Definition
Definition to come...
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