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Katelyn Molly Bawcom, STUDENTINTERN
Counselor in Eureka, California
NPI 1083196620

Katelyn Molly Bawcom is a Counselor based in Eureka, CA. Katelyn Molly Bawcom practices in Eureka, CA and has the professional credentials of STUDENTINTERN. The NPI Number for Katelyn Molly Bawcom is 1083196620 and holds a License No. (California).

The current practice location address for Katelyn Molly Bawcom is 929 Koster St, Eureka, CA and can be reached out via phone at 707-269-4179.

Location: 929 Koster St, Eureka, CA, 95501-0106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083196620
Provider Name
Katelyn Molly Bawcom
Credential
STUDENTINTERN
Provider Entity Type
Individual
Gender
Female
Address
929 Koster St, Eureka, CA, 95501-0106
Phone Number
707-269-4179
Fax Number
Provider Enumeration Date
08/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
929 Koster St
City
Eureka
State
California
Zip
95501-0106
Phone Number
707-269-4179
Fax Number
person
Provider Business Mailing Address Details
Address
929 Koster St
City
Eureka
State
California
Zip
95501-0106
Phone Number
707-269-4179
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
()
Definition
Definition to come...
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