Individual
CAROLYN FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1350 5TH AVE STE 320, YOUNGSTOWN, OH 44504-1765
(330) 542-6573
(202) 970-5606
Mailing address
1350 5TH AVE STE 320, YOUNGSTOWN, OH 44504-1765
(330) 542-6573
(202) 970-5606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I0900303S
OH
1041C0700X
Clinical Social Worker
Primary
I-0900303-SUPR
OH
1041C0700X
Clinical Social Worker
I0900303
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161000
—
OH
01
—
1629430764
GROUP NPI
OH
Enumeration date
10/26/2010
Last updated
09/19/2023
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