person
Paul Douglas Fairbanks, NCC,LCPC
Professional Counselor in Rockton, Illinois
NPI 1356748578

Paul Douglas Fairbanks is a Professional Counselor based in Rockton, IL and is specialized in Professional. Paul Douglas Fairbanks practices in Rockton, IL and has the professional credentials of NCC,LCPC. The NPI Number for Paul Douglas Fairbanks is 1356748578 and holds a License No. 180011693 (Illinois).

The current practice location address for Paul Douglas Fairbanks is 1047 Cannell Ct, Rockton, IL and can be reached out via phone at 815-566-0466.

Location: 1047 Cannell Ct, Rockton, IL, 61072-1596
person
Provider Profile Details
NPI Number
1356748578
Provider Name
Paul Douglas Fairbanks
Credential
NCC,LCPC
Provider Entity Type
Individual
Gender
Male
Address
1047 Cannell Ct, Rockton, IL, 61072-1596
Phone Number
815-566-0466
Fax Number
Provider Enumeration Date
12/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1047 Cannell Ct
City
State
Zip
61072-1596
Phone Number
815-566-0466
Fax Number
person
Provider Business Mailing Address Details
Address
1047 Cannell Ct
City
State
Zip
61072-1596
Phone Number
815-566-0466
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180011693 (Illinois)
Definition
Definition to come...
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