Healthcare Provider Details
I. General information
NPI: 1346573904
Provider Name (Legal Business Name): CHRISTINE NICOLE FAITH M.ED., ED.S., NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/15/2009
Last Update Date: 11/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 NORTHPOINTE CIR SUITE 306
SEVEN FIELDS PA
16046-7851
US
IV. Provider business mailing address
100 NORTHPOINTE CIR SUITE 306
SEVEN FIELDS PA
16046-7851
US
V. Phone/Fax
- Phone: 724-772-4848
- Fax:
- Phone: 724-772-4848
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC005284 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: