Individual
CAROL FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2165 WINCHESTER AVE, ASHLAND, KY 41101-7745
(606) 324-1141
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165311
KY
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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