Fairchild, Katrina Anna

Fairchild, Katrina Anna is an sole proprietor health care provider with primary practice located at 3613 Williams Dr Ste 1005 , Georgetown TX 78628-1376. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fairchild, Katrina Anna can be contacted via phone (737) 279-4700.

Contact Information

Primary practice address
3613 Williams Dr Ste 1005 Georgetown TX 78628-1376
Phone: (737) 279-4700
Fax: (737) 279-4500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 74634 Texas

Profile Details

NPI number 1639737794
LBN Legal business name Fairchild, Katrina Anna
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2019
Last updated Jan 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639737794 NPPES
Texas Other 74634 TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

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