Individual
CELESTE TANIKA FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5025 S ELIZABETH ST, CHICAGO, IL 60609-5922
(773) 908-3275
Mailing address
5025 S ELIZABETH ST, CHICAGO, IL 60609-5922
(773) 908-3275
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178019062
IL
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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