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NPI Code Detail

MEDICARE: TAMRA SUSAN FAUSS M.ED/LPC

MEDICARE:   TAMRA SUSAN FAUSS  M.ED/LPC
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
1101YP2500XProfessional CounselorMO

General Provider Information

NPI Number : 1578808531
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMRA SUSAN FAUSS M.ED/LPC
Provider Business Mailing Address
First Line : 6763 PAGE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63133-1635
Country : US
Telephone Number : 314-727-1720
Fax Number :
Provider Business Practice Location Address
First Line : 6763 PAGE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63133-1635
Country : US
Telephone Number : 314-727-1720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2012
Last Update Date : 09/29/2025

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Directions to “ TAMRA SUSAN FAUSS M.ED/LPC” Practice Location

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