Individual
TINA L FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 HILLS PLZ, CHARLESTON, WV 25387-2438
(304) 720-4466
(304) 720-4821
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP02942245
WV
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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