Provider Demographics
NPI:1194975656
Name:FAUST, HOA NGUYEN (LICENSED MFT)
Entity type:Individual
Prefix:
First Name:HOA
Middle Name:NGUYEN
Last Name:FAUST
Suffix:
Gender:F
Credentials:LICENSED MFT
Other - Prefix:
Other - First Name:HOA
Other - Middle Name:HOANG THANH
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:9353 VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1934
Mailing Address - Country:US
Mailing Address - Phone:626-475-8165
Mailing Address - Fax:626-287-0168
Practice Address - Street 1:9353 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1934
Practice Address - Country:US
Practice Address - Phone:626-475-8165
Practice Address - Fax:626-287-0168
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT93273106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEIN 81-3201472OtherIRS