Individual provider · Type 1 NPI

Kurtis Hunt Fairbank, LAC

Addiction (Substance Use Disorder) Counselor · Thompson Falls, MT

NPI number 1659602761 Active

Practice location

100 Graves Creek Rd
Thompson Falls, MT 59873-9400

Mailing address

PO Box 1310
Thompson Falls, MT 59873-1310

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1205 (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1659602761

Kurtis Hunt Fairbank, LAC's National Provider Identifier is 1659602761, issued on Jan 29, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Thompson Falls, MT. The record was last updated on Jan 29, 2010.