Individual
TAYLOR MICHELLE FAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(800) 604-0025
Mailing address
1601 EAST FOURTH PLAIN BLVD. BLDG #17, STE. A212, VANCOUVER, WA 98661
(800) 604-0025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60709552
WA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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