Fairbanks, Courtney
Fairbanks, Courtney is an individual health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Fairbanks, Courtney can be contacted via phone (908) 273-4300.Contact Information
Primary practice address
1 Diamond Hill Rd
Berkeley Heights NJ 07922-2104
Phone: (908) 273-4300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | 944398 | New Jersey |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44SL06260700 | New Jersey |
Profile Details
NPI number | 1619498862 |
---|---|
LBN Legal business name | Fairbanks, Courtney |
Credentials | MSW, LSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2017 |
Last updated | Jun 28th, 2017 - about 7 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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