Individual
STEPANIE FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1745 S ALMA SCHOOL RD, MESA, AZ 85210-3009
(480) 999-8175
Mailing address
9410 E RAY RD APT 209, MESA, AZ 85212-9684
(480) 999-8175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-22491
AZ
101YM0800X
Mental Health Counselor
Primary
LAC-22491
AZ
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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