Individual provider · Type 1 NPI

Jennifer Fairbourn, MS, LMFT

Marriage & Family Therapist · Midvale, UT

NPI number 1992977383 Active

Practice location

7321 S State St, Suite A
Midvale, UT 84047-2055

Fax (801) 878-9280

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X7007405-3902 (UT)

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 1992977383

Jennifer Fairbourn, MS, LMFT's National Provider Identifier is 1992977383, issued on Mar 26, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Midvale, UT. The record was last updated on Feb 9, 2016.