Individual
BRIAN FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 ELM ST STE 7, WEST SPRINGFIELD, MA 01089-1540
(413) 734-0300
Mailing address
1111 ELM ST STE 7, WEST SPRINGFIELD, MA 01089-1540
(413) 734-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
02/19/2019
Last updated
02/19/2019
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