Provider Demographics
NPI:1780904904
Name:FABER, MONIKA (MS, CAGS, LCMHC)
Entity type:Individual
Prefix:MISS
First Name:MONIKA
Middle Name:
Last Name:FABER
Suffix:
Gender:F
Credentials:MS, CAGS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3632
Mailing Address - Country:US
Mailing Address - Phone:603-355-2244
Mailing Address - Fax:603-355-2299
Practice Address - Street 1:19 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3632
Practice Address - Country:US
Practice Address - Phone:603-355-2244
Practice Address - Fax:603-355-2299
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1036101YM0800X
MA8398101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health