Philip J Fauerbach, Lmhc

NPI #1124491105 in Brandon, Florida

Provider Information

NPI Number: 1124491105
Entity Type: Organization
Organization Name: Philip J Fauerbach, Lmhc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 12, 2015
Last Updated: Nov 12, 2015

Practice Location

Address: 915 S PARSONS AVE # C
City: Brandon
State: Florida
ZIP Code: 33511-6008
Phone: (813) 651-1221

Authorized Official

Name: MR. PHILIP J FAUERBACH, LMHC
Title: PRESIDENT
Phone: 88136511221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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