Individual provider · Type 1 NPI

Leah Marie Fairbank, AMFT

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1639737471 Active

Practice location

534 B St
Santa Rosa, CA 95401-5211

Call (707) 579-0465 Map

Mailing address

10 Court Ln
Fairfax, CA 94930-1602

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X113527 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1639737471

Leah Marie Fairbank, AMFT's National Provider Identifier is 1639737471, issued on Jun 5, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 5, 2019.