Individual
JOHNNY FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT, LPC
Contact information
Practice address
211 E 4TH ST, RUSSELLVILLE, AR 72801-5133
(479) 858-8899
Mailing address
211 E 4TH ST, RUSSELLVILLE, AR 72801-5133
(479) 858-8899
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
M2308005
AR
101Y00000X
Counselor
Primary
P2308023
AR
Other
Enumeration date
04/04/2013
Last updated
08/25/2023
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