Individual
KRISTEN M FAIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 OCOEE ST N STE 8, CLEVELAND, TN 37312-4886
(423) 464-4357
Mailing address
4160 OCOEE ST N STE 8, CLEVELAND, TN 37312-4886
(423) 464-4357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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