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General NPI Number Information
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NPI Number | 1568200392
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Entity Type | Individual
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Provider Name | AARON FAIST LMHC SUDP
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Gender | Male
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Dates
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Enumeration Date | 07/16/2024
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 4500 9TH AVE NE STE 300
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City | SEATTLE
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State | WA
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Zip | 98105-4762
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Country | US
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Telephone | 206-745-2972
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 NE 54TH ST
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City | SEATTLE
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State | WA
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Zip | 98105-3149
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Country | US
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Telephone | 503-887-5388
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61492984
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License Number State | WA
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