Individual
MS. CARLA M FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
10921 REED HARTMAN HWY, STE 116, BLUE ASH, OH 45242-2830
(513) 563-4442
Mailing address
10921 REED HARTMAN HWY, STE 116, BLUE ASH, OH 45242-2830
(513) 563-4442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0002709S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380132
000000380132 ANTHEM PIN
OH
01
—
11510987
CAQH NUMBER
OH
01
—
1235246778
HOPE CHRISTIAN CN INCNPI
OH
01
—
7321149
AETNA PIN NUMBER
OH
01
—
E0002709S
MENTAL HEALTH COUNSELOR
OH
Enumeration date
05/07/2007
Last updated
07/08/2007
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