Individual
JESSICA FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
967 US HIGHWAY 25 W, CORBIN, KY 40701-4543
(606) 526-9348
Mailing address
967 US HIGHWAY 25 W, CORBIN, KY 40701-4543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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