person
Ms. Janice Lynn Fairbank, MA,LISAC,LAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1255051298

Janice Lynn Fairbank is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Janice Lynn Fairbank practices in Phoenix, AZ and has the professional credentials of MA,LISAC,LAC. The NPI Number for Janice Lynn Fairbank is 1255051298 and holds a License No. LISAC-155297 (Arizona).

The current practice location address for Janice Lynn Fairbank is 2102 W Bethany Home Rd, Phoenix, AZ and can be reached out via phone at 602-774-4745.

Location: 2102 W Bethany Home Rd, Phoenix, AZ, 85016-3346
person
Provider Profile Details
NPI Number
1255051298
Provider Name
Janice Lynn Fairbank
Credential
MA,LISAC,LAC
Provider Entity Type
Individual
Gender
Female
Address
2102 W Bethany Home Rd, Phoenix, AZ, 85016-3346
Phone Number
602-774-4745
Fax Number
Provider Enumeration Date
08/30/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2102 W Bethany Home Rd
City
State
Zip
85015-1935
Phone Number
602-774-4745
Fax Number
person
Provider Business Mailing Address Details
Address
2102 W Bethany Home Rd
City
State
Zip
85015-1935
Phone Number
602-774-4745
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-155297 (Arizona)
Definition
Definition to come...
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