Individual
MRS. CATHY TINA FARISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3530 BEE CAVE RD, SUITE 214, WEST LAKE HILLS, TX 78746-5391
(512) 577-9932
Mailing address
3530 BEE CAVE RD, SUITE 214, WEST LAKE HILLS, TX 78746-5391
(512) 577-9932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6227LC
BCBS PROVIDER NUMBER
TX
Enumeration date
08/21/2006
Last updated
07/08/2007
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