Organization
LISA FAULKNER
Active
Parent organization
PIONEER COUNSELING SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIONEER COUNSELING SERVICES
Authorized official
LISA FAULKNER (DAILY LIVING ASSISTANT)
(307) 789-7915
Entity
Organization
Contact information
Practice address
350 CITY VIEW DR, SUITE 302, EVANSTON, WY 82930-5327
(307) 789-7915
Mailing address
350 CITY VIEW DR, SUITE 302, EVANSTON, WY 82930-5327
(307) 789-7915
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/23/2012
Last updated
04/18/2012
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