Bawcom, Katelyn Molly

Bawcom, Katelyn Molly is an individual health care provider with primary practice located at 929 Koster St , Eureka CA 95501-0106. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Bawcom, Katelyn Molly can be contacted via phone (707) 269-4179.

Contact Information

Primary practice address
929 Koster St Eureka CA 95501-0106
Phone: (707) 269-4179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1083196620
LBN Legal business name Bawcom, Katelyn Molly
Credentials STUDENT INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Sep 20th, 2018 - about 6 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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