Individual
JESSICA FAULKENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED/ED.S
Contact information
Practice address
880 S PLEASANTBURG DR STE 4F, GREENVILLE, SC 29607-2453
(864) 326-0579
Mailing address
201 ROCKY SLOPE RD APT 1605, GREENVILLE, SC 29607-3958
(803) 804-6864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6827
SC
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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