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Individual

MS. CAITLIN LANE FAULK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC, LCAS

Contact information

Practice address
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470-6094
(910) 754-4515
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21031
NC
101YM0800X
Mental Health Counselor
11205
NC
101YP2500X
Professional Counselor
11205
NC
101YP2500X
Professional Counselor
A11205
NC

Other

Enumeration date
05/21/2013
Last updated
10/14/2022
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