Provider Demographics
NPI:1326389966
Name:SAWYER CASPER, FAITH MARIE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:MARIE
Last Name:SAWYER CASPER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:FAITH
Other - Middle Name:MARIE
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:3023 E COPPER POINT DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-9290
Mailing Address - Country:US
Mailing Address - Phone:208-514-0518
Mailing Address - Fax:208-493-8759
Practice Address - Street 1:3023 E COPPER POINT DR
Practice Address - Street 2:SUITE 110
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-9290
Practice Address - Country:US
Practice Address - Phone:208-514-0518
Practice Address - Fax:208-493-8759
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-6470101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health