Individual
KIMBERLY R FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
11307 SUNSET HILLS RD STE B4, RESTON, VA 20190-5279
(917) 268-3230
Mailing address
11307 SUNSET HILLS RD STE B4, RESTON, VA 20190-5279
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001177
NY
Other
Enumeration date
07/07/2017
Last updated
03/04/2019
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