Individual
MRS. STACY LEIGH FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
223 W 28TH AVE, COVINGTON, LA 70433-2119
(985) 892-3885
Mailing address
5208 HAWTHORNE PL APT A, NEW ORLEANS, LA 70124-1702
(504) 390-0089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7044
LA
Other
Enumeration date
04/26/2017
Last updated
03/16/2020
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