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

Tara Kim Fairbanks, CAP-207

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780402115

Tara Kim Fairbanks, CAP-207 is an Addiction (Substance Use Disorder) Counselor in Casper, Wyoming. Licensed in Wyoming. Registered with an NPI since 2024.

Licensed in
WY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1430 Wilkins Cir
Casper, WY 82601-1336
Phone: (307) 237-9588
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 207 (WY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1780402115
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAP-207
Sole proprietorNo
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

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