Individual
MS. SHANNAN A FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 E 3RD ST STE C, LOS ANGELES, CA 90013
(213) 620-5712
Mailing address
470 E 3RD ST STE C, LOS ANGELES, CA 90013-1630
(213) 620-5712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC6920
CA
101YP2500X
Professional Counselor
Primary
11912
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/15/2019
Last updated
08/09/2022
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