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Jessica L Fairbanks
Professional Counselor in Lansing, Michigan
NPI 1871105247

Jessica L Fairbanks is a Professional Counselor based in Okemos, MI and is specialized in Professional. Jessica L Fairbanks practices in Lansing, MI. The NPI Number for Jessica L Fairbanks is 1871105247 and holds a License No. 6401018556 (Michigan).

The current practice location address for Jessica L Fairbanks is 2929 Covington Ct, Lansing, MI and can be reached out via phone at 810-513-4976.

Location: 2929 Covington Ct, Lansing, MI, 48864-1251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871105247
Provider Name
Jessica L Fairbanks
Credential
Provider Entity Type
Individual
Gender
Female
Address
2929 Covington Ct, Lansing, MI, 48864-1251
Phone Number
810-513-4976
Fax Number
Provider Enumeration Date
08/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401018556 05 MI
institution
Provider Business Practice Location Address Details
Address
2929 Covington Ct
City
Lansing
State
Michigan
Zip
48912-4941
Phone Number
810-513-4976
Fax Number
person
Provider Business Mailing Address Details
Address
2929 Covington Ct
City
Lansing
State
Michigan
Zip
48912-4941
Phone Number
810-513-4976
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401018556 (Michigan)
Definition
Definition to come...
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