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Organization

THE HAELAN CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNNY FAULKNER LMFT, LPC (PSYCHOTHERAPIST)
(479) 858-8899
Entity
Organization

Contact information

Practice address
211 E 4TH ST, RUSSELLVILLE, AR 72801-5133
(479) 858-8899
Mailing address
211 E 4TH ST, RUSSELLVILLE, AR 72801-5133
(479) 858-8899

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/24/2023
Last updated
10/24/2023
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