person
Mr. Philip John Fauerbach, LMHC
Mental Health Counselor in Brandon, Florida
NPI 1912125527

Philip John Fauerbach is a Mental Health Counselor based in Valrico, FL and is specialized in Mental Health. Philip John Fauerbach practices in Brandon, FL and has the professional credentials of LMHC. The NPI Number for Philip John Fauerbach is 1912125527 and holds a License No. MH3399 (Florida).

The current practice location address for Philip John Fauerbach is 915 S Parsons Ave, Brandon, FL and can be reached out via phone at 813-651-1221 and via fax at 813-657-0850.

Location: 915 S Parsons Ave, Brandon, FL, 33596-7161
person
Provider Profile Details
NPI Number
1912125527
Provider Name
Philip John Fauerbach
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
915 S Parsons Ave, Brandon, FL, 33596-7161
Phone Number
813-651-1221
Fax Number
813-657-0850
Provider Enumeration Date
04/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
761087400 05 FL
institution
Provider Business Practice Location Address Details
Address
915 S Parsons Ave
City
State
Zip
33511-6008
Phone Number
813-651-1221
Fax Number
813-657-0850
person
Provider Business Mailing Address Details
Address
915 S Parsons Ave
City
State
Zip
33511-6008
Phone Number
813-651-1221
Fax Number
813-657-0850
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH3399 (Florida)
Definition
Definition to come...
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