Individual provider · Type 1 NPI

Jessica L. Fairbanks

Professional Counselor · Lansing, MI

NPI number 1871105247 Active

Practice location

2929 Covington Ct
Lansing, MI 48912-4941

Mailing address

4624 Dunmorrow Dr
Okemos, MI 48864-1251

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401018556 (MI)

Professional Counselor: Definition to come...

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About NPI 1871105247

Jessica L. Fairbanks's National Provider Identifier is 1871105247, issued on Aug 18, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lansing, MI. The record was last updated on Apr 20, 2021.