Christopher Rane Faustin, LMSW
Social Worker, Clinical in Canton, GA. Individual provider (NPI-1).
NPI number1285211490
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1285211490
- Entity type
- Individual (NPI-1)
- Name
- Christopher Rane Faustin
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2021
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW007538 | GA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CSW007538 | GA | |
| 101YM0800X | Counselor, Mental Health | CSW007538 | GA | |
| 101YS0200X | Counselor, School | CSW007538 | GA | |
| 103K00000X | Behavior Analyst | CSW007538 | GA | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | CSW007538 | GA | |
| 104100000X | Social Worker | CSW007538 | GA | |
| 1041S0200X | Social Worker, School | CSW007538 | GA | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | CSW007538 | GA |
Practice location
142 Spring Way SqCanton, GA 30114-1229
Phone 814-648-1438
Mailing address
142 Spring Way SqCanton, GA 30114-1229
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