DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARY JO FAUSTGEN LMFT

MEDICARE: MARY JO FAUSTGEN LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1041MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790880821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY JO FAUSTGEN LMFT
Provider Business Mailing Address
First Line : 9200 40 1/2 AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55427-1012
Country : US
Telephone Number : 651-647-1900
Fax Number :
Provider Business Practice Location Address
First Line : 5821 CEDAR LAKE RD S
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-1487
Country : US
Telephone Number : 651-647-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 08/20/2020

Similar Medicare Providers

1578528303 — EVELYN O. JAFFEE L.AC.
Practice Location Address:
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN
55416-1487
Practice Phone: 952-545-2250
Practice Fax: 952-525-1088
1215992540 — SHELLEY J. CONN L.AC.
Practice Location Address:
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN
55416-1487
Practice Phone: 952-545-2250
Practice Fax: 952-525-1088
1295840908 — DR. LINDA N OAKES PH.D. LP
Practice Location Address:
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN
55416-1487
Practice Phone: 651-647-1900
Practice Fax: 651-647-1861
1114022258 — RITA J YOUNGER LICSW
Practice Location Address:
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN
55416-1487
Practice Phone: 651-647-1900
Practice Fax: 651-647-1861
1629190814 — SUSAN MARIE BANAL LICSW
Practice Location Address:
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN
55416-1487
Practice Phone: 651-647-1900
Practice Fax: 651-647-1861
1760625321 — DANIEL VERBOUT MA, LPCC
Practice Location Address:
5821 CEDAR LAKE RD S STE 3
SAINT LOUIS PARK, MN
55416-1487
Practice Phone: 612-242-8310
Practice Fax:

Directions to “ MARY JO FAUSTGEN LMFT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.