SearchMontana1041C0700X

Coyote Fairbank, LCSW

NPI 1447783170 · on the registry since 2017 · sole proprietor

Practice

Address
2 6th Ave E
Polson, MT 59860
Phone
(406) 214-3137
Organisation at this address
Anne D Lowe Lcsw
Fairbank Counseling, Pllc
Mind Flow Therapeutics Llc
Waves Of Change Counseling, Llc
Waxwing Psychotherapy Limited Liability Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 7935 Mt Highway 35 Ste 202, Bigfork, MT
  • 1602 2nd St W, Polson, MT

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana