Kristy Fields
Counselor in Waverly, TN. Individual provider (NPI-1).
NPI number1649655366
StatusActive
Last updated in NPPESJul 23, 2015
Details
- NPI
- 1649655366
- Entity type
- Individual (NPI-1)
- Name
- Kristy Fields
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2015
- Last updated
- Jul 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
945 Bakerville RdWaverly, TN 37185-1920
Phone 925-200-9292
Mailing address
945 Bakerville RdWaverly, TN 37185-1920
Phone 925-200-9292
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