| NPI | 1841604006 |
|---|---|
| Professional Name | WAYNE RAE FAISON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10835) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20755) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2017-09-29 |