Individual
DR. KELLY AMBER FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LPC
Contact information
Practice address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Mailing address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992952915
—
WI
Enumeration date
08/20/2008
Last updated
04/17/2015
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