Jennifer Fairbourn, MS, LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Midvale, UT
- NPI
- 1992977383
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 7007405-3902 (UT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-03-26
- Last updated
- 2016-02-09
Practice location
7321 S State St, Suite A
Midvale, UT 84047-2055
(801) 878-4327