Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COYOTE FAIRBANK, LCSW
Active Sole ProprietorCOYOTE FAIRBANK, LCSW is a Clinical Social Worker healthcare provider located in POLSON, Montana. NPI 1447783170 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · POLSON, MT
Registration Details
- NPI Number
- 1447783170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2017 (9.3314943471572 yrs)
- Last Updated
- Nov 27, 2023
- License
-
BBH-LCSW-LIC-23635 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 6TH AVE EPOLSON, MT, 598602726Browse MT providers · Browse ZIP 59860
- Phone
- 4062143137
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in POLSON, MT
| Name | Credential | NPI |
|---|---|---|
| MS. TRACY ARNEL CLAIRMONT | LCSW | 1174679963 |
| MARGARET SUSAN KEARNEY | LCSW | 1881736924 |
| CORALIE LAEUPPLE | LCSW | 1255521829 |
| CHRISTINA K NEWELL WYATT | LCSW | 1154503134 |
| ERIKA ANN WEBER | LCSW | 1114220787 |
| DARCI D JONES | LCSW | 1174870141 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.