Theodore Paul Faris, MA, LPC
NPI #1861529604 in West Bloomfield, Michigan
Provider Information
- NPI Number
- 1861529604
- Entity Type
- Individual
- Name
- Theodore Paul Faris, MA, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA, LPC
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Sep 7, 2009
Practice Location
- Address
- 2300 HAGGERTY RD
- Address 2
- SUITE 2160
- City
- West Bloomfield
- State
- Michigan
- ZIP Code
- 48323-2184
- Phone
- (248) 960-5106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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