Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leah Marie Fairbank, AMFT

Individual provider Marriage & Family Therapist · NPI 1639737471

Leah Marie Fairbank, AMFT is a Marriage & Family Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

534 B St
Santa Rosa, CA 95401-5211
Phone: (707) 579-0465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 113527 (CA)

Record details

NPI number1639737471
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 5, 2019

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