Individual
KEVIN LEMUEL FAULKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2025 EBENEZER RD, SUITE J-2, ROCK HILL, SC 29732-1062
(803) 366-2525
(803) 366-2527
Mailing address
2025 EBENEZER RD, SUITE J-2, ROCK HILL, SC 29732-1062
(803) 366-2525
(803) 366-2527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8647
SC
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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