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JENNIFER FAIRBOURN LMFT LLC NPI 1356826036


NPI Information

NPI: 1356826036
Provider Name: JENNIFER FAIRBOURN LMFT, LLC

Doing Business As: COTTONWOOD CREEK COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7321 S STATE ST STE A
MIDVALE, UT
ZIP 84047
Phone: (801) 878-4327
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JENNIFER FAIRBOURN LMFT, LLC is a mental health counselor in Midvale, UT. JENNIFER FAIRBOURN LMFT, LLC NPI is 1356826036. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cottonwood Creek Counseling.

The provider's business location address is:

7321 S STATE ST STE A
MIDVALE, UT
ZIP 84047-105
Phone: (801) 878-4327
Fax: (801) 878-9280

The provider's authorized official is Jennifer Fairbourn .
The authorized official title is Lmft and has the following contact phone number (801) 878-4327.

The enumeration date for this NPI number is 9/28/2018 and was last updated on 8/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.