Individual provider · Type 1 NPI

William D. Fairbanks, PhD, LPC

Counselor · Cheyenne, WY

NPI number 1114901964 Active

Practice location

2526 Seymour Ave
Cheyenne, WY 82001-3159

Call (307) 634-9653 Map

Fax (307) 638-8256

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X261 (WY)

Counselor: 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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About NPI 1114901964

William D. Fairbanks, PhD, LPC's National Provider Identifier is 1114901964, issued on Dec 5, 2005. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cheyenne, WY. The record was last updated on Mar 15, 2011.