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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers