Individual
CHRISTIAN FAUERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12335 W EMIG DR, LEAVENWORTH, WA 98826-8750
(509) 219-3204
(509) 219-3206
Mailing address
12335 W EMIG DR, LEAVENWORTH, WA 98826-8750
(509) 219-3204
(509) 219-3206
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2022
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