Individual provider · Type 1 NPI

Theodore Paul Faris, MA, LPC

Mental Health Counselor · West Bloomfield, MI

NPI number 1861529604 Active

Practice location

2300 Haggerty Rd, Suite 2160
West Bloomfield, MI 48323-2184

Call (248) 960-5106 Map

Fax (248) 960-5532

Mailing address

3689 Darcy Dr
Bloomfield Township, MI 48301-2126

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401008983 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1861529604

Theodore Paul Faris, MA, LPC's National Provider Identifier is 1861529604, issued on Feb 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Bloomfield, MI. The record was last updated on Sep 7, 2009.