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Indy Fairbanks

NPI 1013267756 · on the registry since 2012

Practice

Address
402 N River St Ste 200
Derby, KS 67037
Phone
(316) 409-0565
Organisation at this address
Life Anchor Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-16

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 Kansas