| Doctor Name: | DR. ELIZABETH ANN FAULKNER |
| NPI Number: | 1093867285 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D., LISAC. LPC |
| License Number: | LISAC 10566 |
| Business Practice Address: | 425 N Lincoln Ave Casa Grande, AZ - 852224635 |
| Business Phone Number: | 5204269540 |
| Business Fax Number: | 5208369016 |
| Mailing Address: | 1323 N Center Ave, CASA GRANDE |
| State: | AZ |
| Postal Code: | 852223407 |
| Phone Number: | 5204269540 |
| Fax Number: | 5208369016 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC 10566 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |