Search › Minnesota › 101YP2500X
Samara Fairwell, LADC, LPCC
NPI 1770351918 · on the registry since 2023
Practice
- Address
- 11660 Round Lake Blvd Nw
Coon Rapids, MN 55433 - Phone
- (844) 697-8766
- Clinicians at this address
- 63
Additional practice sites
- 1900 Silver Lake Rd Nw, New Brighton, MN
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-23
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 Minnesota