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KATELYN MOLLY BAWCOM STUDENT INTERN
NPI 1083196620
Counselor in Eureka, CA

Active since August 30, 2018
929 KOSTER ST, EUREKA, CA 95501(707) 269-4179 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2018, Aug 30, 2018 (2 updates tracked since 2018).

About Katelyn Molly Bawcom Student Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN MOLLY BAWCOM STUDENT INTERN (NPI 1083196620) is an individual counselor in Eureka, California and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1083196620
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATELYN MOLLY BAWCOMCredential: STUDENT INTERN
Location Address929 KOSTER STEureka, CA 95501-0106
Mailing Address929 Koster StEureka, CA 95501-0106
Phone(707) 269-4179
Sole ProprietorNo
Enumeration DateAugust 30, 2018
Last NPPES UpdateSeptember 20, 20182 updates tracked since enumeration
✔ NPI 1083196620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
929 KOSTER ST, Eureka, CA 95501
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Bawcom's NPI number?

The NPI number for Katelyn Bawcom is 1083196620. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Katelyn Bawcom located?

Katelyn Bawcom practices at 929 Koster St, Eureka, CA 95501. The listed phone number is (707) 269-4179.

What is Katelyn Bawcom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Katelyn Bawcom was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.