Individual
SHELI FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC, SAC-IT
Contact information
Practice address
3378 N. SCHILLEMAN RD, LAC DU FLAMBEAU, WI 54538-5453
(715) 588-4422
(715) 588-1889
Mailing address
PO BOX 815, LAC DU FLAMBEAU, WI 54538-0815
(715) 588-4422
(715) 588-1889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17846-130
WI
101YP2500X
Professional Counselor
Primary
3127-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548619828
—
WI
Enumeration date
06/08/2016
Last updated
08/20/2020
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