Organization
JILLIAN FAULKNER COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN FAULKNER LPC (PRESIDENT)
(580) 310-4336
Entity
Organization
Contact information
Practice address
2100 N BROADWAY AVE, ADA, OK 74820-1048
(580) 310-4336
Mailing address
2100 N BROADWAY AVE, ADA, OK 74820-1048
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5324
OK
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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