Fairbrother, Dana
Fairbrother, Dana is an individual health care provider with primary practice located at 900 7Th St , Clarkston WA 99403-2005. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Fairbrother, Dana can be contacted via phone (509) 758-3341.Contact Information
Primary practice address
900 7Th St
Clarkston WA 99403-2005
Phone: (509) 758-3341
Fax: (509) 769-6057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | CG60150896 | Washington |
Profile Details
| NPI number | 1194039909 |
|---|---|
| LBN Legal business name | Fairbrother, Dana |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2010 |
| Last updated | Aug 4th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194039909 | NPPES |
| Washington | Other | CG60150896 | WASHINGTON STATE LICENSE |
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