Individual
JEFFREY FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8106 AMBROSIA LN, PENDLETON, IN 46064-1370
(317) 828-1713
Mailing address
8106 AMBROSIA LN, PENDLETON, IN 46064-1370
(317) 828-1713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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