Individual
MRS. LESLIE FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2500 HOLT RD, PADUCAH, KY 42001-8661
(270) 970-4590
Mailing address
834 ASPEN WAY, PADUCAH, KY 42003-5130
(270) 970-4590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
246200
KY
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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