| NPI | 1295541084 |
|---|---|
| Doing Business As | KEVIN FAUST |
| Entity Type | Organization |
| Authorized Contact | KEVIN LEE FAUST Member/Manager 808-720-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |