Provider Demographics
NPI:1215166491
Name:FABIAN, MICHAEL JOSEPH (MA, CFI)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:FABIAN
Suffix:
Gender:M
Credentials:MA, CFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 E 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8426
Mailing Address - Country:US
Mailing Address - Phone:303-564-2033
Mailing Address - Fax:303-458-1059
Practice Address - Street 1:7601 E 130TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-8426
Practice Address - Country:US
Practice Address - Phone:303-564-2033
Practice Address - Fax:303-458-1059
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)