Individual
MR. JASON RAY FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
2506 COUNTRY CLUB RD, ARKADELPHIA, AR 71923-2930
(870) 230-8217
(870) 230-8201
Mailing address
1020 VILLAGE DR, APT 20, ARKADELPHIA, AR 71923-2932
(870) 451-3979
(870) 230-8201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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