Provider Demographics
NPI:1689030421
Name:FABIAN, TAWNYA (MA)
Entity Type:Individual
Prefix:MRS
First Name:TAWNYA
Middle Name:
Last Name:FABIAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 LINCOLN AVE
Mailing Address - Street 2:#310
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-5014
Mailing Address - Country:US
Mailing Address - Phone:970-819-0698
Mailing Address - Fax:
Practice Address - Street 1:1031 STEAMBOAT BLVD
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-9078
Practice Address - Country:US
Practice Address - Phone:970-819-0698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-09
Last Update Date:2016-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0014552101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor