Individual
MRS. AMANDA RAE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 NE HAMPE WAY, CHEHALIS, WA 98532-2403
(360) 345-6458
Mailing address
151 NE HAMPE WAY, CHEHALIS, WA 98532-2403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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