Individual
HUBERT FAUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS.
Contact information
Practice address
1409 NW 1ST AVENUE, FORT LAUDERDALE, FL 33311
(954) 200-3546
Mailing address
1409 NW 1ST AVENUE, FORT LAUDERDALE, FL 33311
(954) 200-3546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMT2079
FL
106H00000X
Marriage & Family Therapist
Primary
IMT2079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IMT2079
—
FL
Enumeration date
10/26/2016
Last updated
10/26/2016
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