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Amanda Fairbanks
Counselor in Longview, Washington
NPI 1942777107

Amanda Fairbanks is a Counselor based in Longview, WA. Amanda Fairbanks practices in Longview, WA. The NPI Number for Amanda Fairbanks is 1942777107 and holds a License No. 60904653 (Washington).

The current practice location address for Amanda Fairbanks is 720 14Th Ave, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-577-0269.

Location: 720 14Th Ave, Longview, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942777107
Provider Name
Amanda Fairbanks
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Ave, Longview, WA, 98632-8140
Phone Number
360-423-0203
Fax Number
360-577-0269
Provider Enumeration Date
10/25/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2140647 05 WA
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0269
person
Provider Business Mailing Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0269
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
60904653 (Washington)
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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