Individual
DUSTIN MARK FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
Mailing address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OH
101YP2500X
Professional Counselor
Primary
C.0500461-CR
OH
Other
Enumeration date
04/13/2006
Last updated
05/08/2008
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