Individual provider · Type 1 NPI

Kristina Nicole Fairbanks, MS

Mental Health Counselor · Crown Point, IN

NPI number 1033728043 Active

Practice location

1308 N Main St
Crown Point, IN 46307-2719

Call (219) 663-6353 Map

Mailing address

8694 Forest Glen Ct
St. John, IN 46373-8424

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033728043

Kristina Nicole Fairbanks, MS's National Provider Identifier is 1033728043, issued on Jul 26, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crown Point, IN. The record was last updated on Jul 26, 2020.