Provider Demographics
NPI:1063181428
Name:FAUST, REIKA DAWN (LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:REIKA
Middle Name:DAWN
Last Name:FAUST
Suffix:
Gender:
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:REIKA
Other - Middle Name:DAWN
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1303 SAN CARLOS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-2317
Mailing Address - Country:US
Mailing Address - Phone:156-463-9834
Mailing Address - Fax:
Practice Address - Street 1:491 FERNWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-1944
Practice Address - Country:US
Practice Address - Phone:650-201-5840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14684101YM0800X
CA107036106H00000X
CA138938106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health