Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | 71333 | TX |
NPI | 1033779160 |
---|---|
Provider Name | Cassandra Faire |
First Address | Houston, TX 77082 |
Second Address | Houston, TX 77042-3462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2019 |
Last Update Date | 10/04/2020 |