Individual
MS. DEBORAH JUNE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RASAC II
Contact information
Practice address
HWY J NORTH, HAYTI, HAYTI, MO 63851
(573) 359-2600
(573) 359-1103
Mailing address
PO BOX 441, HAYTI, HAYTI, MO 63851-0441
(573) 359-2600
(573) 359-1103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2973
MO
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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