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Dr. William D Fairbanks, PHD,LPC
Counselor in Cheyenne, Wyoming
NPI 1114901964

William D Fairbanks is a Counselor based in Cheyenne, WY. William D Fairbanks practices in Cheyenne, WY and has the professional credentials of PHD,LPC. The NPI Number for William D Fairbanks is 1114901964 and holds a License No. 261 (Wyoming).

The current practice location address for William D Fairbanks is 2526 Seymour Ave, Cheyenne, WY and can be reached out via phone at 307-634-9653 and via fax at 307-638-8256.

Location: 2526 Seymour Ave, Cheyenne, WY, 82001-3159
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Provider Profile Details
NPI Number
1114901964
Provider Name
William D Fairbanks
Credential
PHD,LPC
Provider Entity Type
Individual
Gender
Male
Address
2526 Seymour Ave, Cheyenne, WY, 82001-3159
Phone Number
307-634-9653
Fax Number
307-638-8256
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311734 01 WY BS OF WY
MH60 01 WY WINHEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
2526 Seymour Ave
City
State
Zip
82001-3159
Phone Number
307-634-9653
Fax Number
307-638-8256
person
Provider Business Mailing Address Details
Address
2526 Seymour Ave
City
State
Zip
82001-3159
Phone Number
307-634-9653
Fax Number
307-638-8256
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
261 (Wyoming)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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