William D Fairbanks in Cheyenne - Counselor

William D Fairbanks - NPI 1114901964

William D Fairbanks is a Counselor in Cheyenne, . William D Fairbanks practices all healthcare services and medical treatments related to Counselor. The NPI Number for William D Fairbanks is 1114901964. The last update date is 2011-03-15.

William D Fairbanks's current location address is 2526 Seymour Ave, Cheyenne, . You can contact this provider via phone number 3076349653 and fax number 3076388256. The mailing address for William D Fairbanks is 2526 Seymour Ave, Cheyenne, . To know further, please read the information below!

Provider Profile Detail

Provider Name William D Fairbanks
Address 2526 Seymour Ave, Cheyenne,
Phone Number 3076349653
Fax Number 3076388256
Sole Proprietor N
Credentials PH.D., LPC

NPI Number Detail

NPI Number 1114901964
Provider Enumeration Date 2005-12-05
Last Updated Date 2011-03-15

Provider Mailing Address Detail

Address 2526 Seymour Ave
City Cheyenne
State (WY)
Post Code 820013159
Phone Number 3076349653
Fax Number 3076388256

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No 261
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 supe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
311734 WY BS OF WY
MH60 WY WINHEALTH PARTNERS

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FAQs about William D Fairbanks

What is the unique 10-digit identifier code issued to William D Fairbanks by the Centers for Medicare & Medicaid Services?

The William D Fairbanks has been assigned the NPI (National Provider Identifier) 1114901964 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where William D Fairbanks is geographically located?

The William D Fairbanks is physically situated at the following location: 2526 Seymour Ave, Cheyenne, WY, 820013159.

What is William D Fairbanks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for William D Fairbanks is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.

On what date did William D Fairbanks receive its 1114901964 assignment from the Centers for Medicare & Medicaid Services?

The William D Fairbanks was assigned its 1114901964 on 2005-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the William D Fairbanks's details last updated?

The information pertaining to the William D Fairbanks, including its address, specialty, and other details, was most recently updated on 2011-03-15.

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