Individual provider · Type 1 NPI

Evan Fairbourn

Mental Health Counselor · Seattle, WA

NPI number 1174390876 Active

Practice location

1600 S Lane St
Seattle, WA 98144-2810

Mailing address

325 W Gowe St
Kent, WA 98032-5892

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174390876

Evan Fairbourn's National Provider Identifier is 1174390876, issued on Dec 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Jan 13, 2025.