Organization
CORNERSTONE PROGRAMS
Active
Other names
Futures Family Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
EARL FAULKNER PHD (CLINICAL DIRECTOR)
(307) 514-5592
Entity
Organization
Contact information
Practice address
3116 OLD FAITHFUL RD, SUITE 200, CHEYENNE, WY 82001-5892
(307) 514-5592
(307) 514-5593
Mailing address
3116 OLD FAITHFUL RD, SUITE 200, CHEYENNE, WY 82001-5892
(307) 514-5592
(307) 514-5593
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
419
WY
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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