Individual
VICTOR A FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
3939 SAN PEDRO DR NE BLDG D1, ALBUQUERQUE, NM 87110-8905
(505) 440-9545
Mailing address
9201 MONTGOMERY BLVD NE STE V, ALBUQUERQUE, NM 87111-2470
(505) 320-0576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4397
NM
Other
Enumeration date
08/26/2009
Last updated
04/02/2018
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