Faust, Tracy Jenifer
Faust, Tracy Jenifer is an individual health care provider with primary practice located at 3900 W Brown Deer Rd Ste 200 , Brown Deer WI 53209-1220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Faust, Tracy Jenifer can be contacted via phone (414) 540-2170.Contact Information
Primary practice address
3900 W Brown Deer Rd Ste 200
Brown Deer WI 53209-1220
Phone: (414) 540-2170
Fax: (414) 540-2171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13199 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3237-125 | Wisconsin |
Profile Details
| NPI number | 1326006230 |
|---|---|
| LBN Legal business name | Faust, Tracy Jenifer |
| Credentials | M.A., LPC, SAC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Sep 12th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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