Individual
CAROLYN FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 632-7128
(276) 632-0127
Mailing address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 632-7128
(276) 632-0127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003047
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044945221
—
VA
Enumeration date
02/13/2006
Last updated
12/30/2008
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