Individual
KATHERINE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-ASSOCIATE
Contact information
Practice address
1616 5TH AVE, FORT WORTH, TX 76104-4324
(510) 295-3802
Mailing address
7033 PINON ST, FORT WORTH, TX 76116-9057
(510) 295-3802
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205312
TX
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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