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General NPI Number Information
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NPI Number | 1316545452
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Entity Type | Individual
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Provider Name | KAYLA JOANNE FAUSTI LPC, SAC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1671 HOFFMAN RD STE 170
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City | GREEN BAY
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State | WI
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Zip | 54311-6232
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Country | US
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Telephone | 920-288-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 ENGEL DR APT 102
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City | SHAWANO
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State | WI
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Zip | 54166-3756
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Country | US
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Telephone | 715-701-3552
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10993-125
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License Number State | WI
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