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

Paul Douglas Fairbanks, LCPC/LPC

Individual provider Mental Health Counselor · NPI 1356748578

Paul Douglas Fairbanks, LCPC/LPC is a Mental Health Counselor in Rogersville, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Illinois.

Licensed in
AZ, IL
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1175 Old Highway 66
Rogersville, TN 37857-5175
Phone: (815) 566-0466
Show map & directions

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

Additional practice locations (1)

  • 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 — (815) 566-0466

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-23438 (AZ)
Professional Counselor Taxonomy 101YP2500X · Licence 180011693 (IL)

Record details

NPI number1356748578
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC/LPC
Sole proprietorYes
NPI enumeratedDecember 3, 2014
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Other providers in Rogersville