Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA KIM FAIRBANKS, CAP - 207
ActiveAddiction (Substance Use Disorder) Counselor · CASPER, WY
Registration Details
- NPI Number
- 1780402115
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2024 (1.5511961781011 yrs)
- Last Updated
- Oct 17, 2024
- License
-
207 (WY)
Practice Information
- Address
-
1430 WILKINS CIRCASPER, WY, 826011336Browse WY providers · Browse ZIP 82601
- Phone
- 3072379588
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in CASPER, WY
| Name | Credential | NPI |
|---|---|---|
| MRS. CARRIE MARIE KNOEPFLE | M.S. | 1780682898 |
| MR. KEN W HICKS | LCSW LAT NCAC II SAP | 1609940329 |
| JOHN DAVID ORDIWAY | MS LPC LAT | 1427185107 |
| MISS LINDA M BLACKDEER | CAP, BSW | 1710109038 |
| MS. VICKI L WILLIAMS | BSW | 1174818413 |
| KRISTI HANN | MS, CAP, LPC, NCC | 1750634838 |
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.