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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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