Provider Demographics
NPI:1730272311
Name:FAULHABER, JANET D (LCPC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:D
Last Name:FAULHABER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2479 VILLAGE COURT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5820
Mailing Address - Country:US
Mailing Address - Phone:630-336-9114
Mailing Address - Fax:630-820-2219
Practice Address - Street 1:1220 HOBSON ROAD
Practice Address - Street 2:SUITE 232
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-336-9114
Practice Address - Fax:630-820-2219
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180001411101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health