Individual
MRS. DIANE JEANNETTE FAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC, NCSC
Contact information
Practice address
46 PRINCE STREET, ROCHESTER, NY 14607
(585) 727-1505
Mailing address
740 NORTHBROOK WAY, WEBSTER, NY 14580
(585) 727-1505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003613
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
003613
NY
101YM0800X
Mental Health Counselor
003613
NY
101YP2500X
Professional Counselor
003613
NY
Other
Enumeration date
05/04/2007
Last updated
09/11/2025
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