Provider Demographics
NPI:1255004164
Name:FATHERREE, MARIA CHRISTINE (LCSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CHRISTINE
Last Name:FATHERREE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:FATHERREE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CHRIS FATHERREE LCSW
Mailing Address - Street 1:2153 SUNGATE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-9092
Mailing Address - Country:US
Mailing Address - Phone:512-757-7525
Mailing Address - Fax:
Practice Address - Street 1:2153 SUNGATE DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-9092
Practice Address - Country:US
Practice Address - Phone:512-757-7525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX574541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical