Healthcare Provider Details

I. General information

NPI: 1902265465
Provider Name (Legal Business Name): KELLY FAUS MA, LPC, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 VIEW LN
GUFFEY CO
80820-9667
US

IV. Provider business mailing address

251 VIEW LN
GUFFEY CO
80820-9667
US

V. Phone/Fax

Practice location:
  • Phone: 303-351-1068
  • Fax:
Mailing address:
  • Phone: 303-351-1068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: