Fairbanks, Amanda Jane

Fairbanks, Amanda Jane is an individual health care provider with primary practice located at 384 E 60 S , American Fork UT 84003-3835. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Fairbanks, Amanda Jane can be contacted via phone (801) 901-0279.

Contact Information

Primary practice address
384 E 60 S American Fork UT 84003-3835
Phone: (801) 901-0279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1265128797
LBN Legal business name Fairbanks, Amanda Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2023
Last updated Apr 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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