Individual
MR. SEAN PATRICK FAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
W4051 COUNTY ROAD NN, ELKHORN, WI 53121-4338
(262) 741-3200
(262) 741-3217
Mailing address
W4051 COUNTY ROAD NN, ELKHORN, WI 53121-4338
(262) 741-3200
(262) 741-3217
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3030-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43585100
—
WI
Enumeration date
08/29/2006
Last updated
07/09/2007
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