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General NPI Number Information
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NPI Number | 1679438790
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Entity Type | Organization
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Legal Business Name | KATRINA FAIRCHILD, PLLC
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 3613 WILLIAMS DR STE 1005
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City | GEORGETOWN
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State | TX
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Zip | 78628-1376
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Country | US
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Telephone | 737-279-4700
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Fax | 737-279-4500
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Provider Business Mailing Address
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Address Line | 3613 WILLIAMS DR STE 1005
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City | GEORGETOWN
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State | TX
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Zip | 78628-1376
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Country | US
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Telephone | 737-279-4700
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Fax | 737-279-4500
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Authorized Official
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Title or Position | OWNER
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Name | KATRINA ANNA FAIRCHILD
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Credential | LPC
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Telephone | 817-470-5104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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