Most Relevant Information
Provider Data
| NPI Number: | 1003396516 |
| Provider Name: | KIMBERLY SMITH FAUST MC, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2018 |
| Last Updated: | 10/11/2021 |
Provider Practice Location
179 S PARKSIDE DR
COLORADO SPRINGS
CO
809103130
Practice Location Phone/Fax
| Phone: | 7195726100 |
| Fax: |
Provider Mailing Location
1795 JET WING DR
COLORADO SPRINGS
CO
809162332
Provider Mailing Phone/Fax
| Phone: | 7195726100 |
| Fax: |