Individual
JEREMY FAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 EAST MAIN STREET, SUITE 2, NEW PRAGUE, MN 56071
(952) 217-6419
Mailing address
238 DUNLAP ST S APT 5, SAINT PAUL, MN 55105-2753
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3592
MN
Other
Enumeration date
03/31/2018
Last updated
06/05/2018
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