person
Samara Fairwell, MS,LADC
Professional Counselor in Coon Rapids, Minnesota
NPI 1770351918

Samara Fairwell is a Professional Counselor based in Columbia Heights, MN and is specialized in Professional. Samara Fairwell practices in Coon Rapids, MN and has the professional credentials of MS,LADC. The NPI Number for Samara Fairwell is 1770351918 and holds a License No. 306766 (Minnesota).

The current practice location address for Samara Fairwell is 11660 Round Lake Blvd Nw, Coon Rapids, MN and can be reached out via phone at 844-697-8766. You can also correspond with Samara Fairwell through the mailing address at 1385 PIERCE TER NE, COLUMBIA HEIGHTS, MN - 55421-1848 (mailing address contact number: 651-792-5820).

Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN, 55421-1848
person
Provider Profile Details
NPI Number
1770351918
Provider Name
Samara Fairwell
Credential
MS,LADC
Provider Entity Type
Individual
Gender
Female
Address
11660 Round Lake Blvd Nw, Coon Rapids, MN, 55421-1848
Phone Number
844-697-8766
Fax Number
Provider Enumeration Date
12/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11660 Round Lake Blvd Nw
City
State
Zip
55433-2638
Phone Number
844-697-8766
Fax Number
person
Provider Business Mailing Address Details
Address
11660 Round Lake Blvd Nw
City
State
Zip
55433-2638
Phone Number
844-697-8766
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
306766 (Minnesota)
Definition
Definition to come...
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