Individual
MS. TRACY JENIFER FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC, SAC, NCC
Contact information
Practice address
3900 W BROWN DEER RD STE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
(414) 540-2171
Mailing address
3292 DAVIES AVE, GREEN BAY, WI 54311-7200
(414) 540-2170
(414) 540-2171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13199
WI
101YP2500X
Professional Counselor
Primary
3237-125
WI
Other
Enumeration date
05/02/2006
Last updated
09/12/2014
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