Individual provider · Type 1 NPI

Jeff Joseph Fauque, LAC

Addiction (Substance Use Disorder) Counselor · Great Falls, MT

NPI number 1972936227 Active

Practice location

920 4th Ave N
Great Falls, MT 59401-1514

Fax (406) 727-8172

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X810410694 (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972936227

Jeff Joseph Fauque, LAC's National Provider Identifier is 1972936227, issued on Aug 9, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Great Falls, MT. The record was last updated on Aug 9, 2013.