National Provider Identifier Database

KATELYN M BAWCOM, STUDENT INTERN – NPI #1083196620
Counselor

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.


Contact Information

KATELYN M BAWCOM, STUDENT INTERN
929 KOSTER ST
EUREKA, CA95501-0106
Phone: 707-269-4179
Fax:
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X
School 1041S0200X

* Indicates primary specialty

NPI Profile & details for KATELYN M BAWCOM

NPI Number 1083196620
Credentials STUDENT INTERN
Entity Individual
Enumeration date 08/30/2018
Last updated 09/20/2018 - About 8 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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