Individual
TAKIRRA FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14605 ELM ST # 792, UPPER MARLBORO, MD 20772-9998
(202) 875-4927
Mailing address
14605 ELM ST # 792, UPPER MARLBORO, MD 20772-9998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC200001483
DC
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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