Individual
KRISTY FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
945 BAKERVILLE RD, WAVERLY, TN 37185-1920
(925) 200-9292
Mailing address
945 BAKERVILLE RD, WAVERLY, TN 37185-1920
(925) 200-9292
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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