| Doctor Name: | MRS. HAZEL FAYE FAULKNER |
| NPI Number: | 1093877177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BHC,RASI |
| License Number: | RI-F0602090827 |
| Business Practice Address: | 865 Mitchell Ave Oroville, CA - 959654646 |
| Business Phone Number: | 5305383869 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2704, PARADISE |
| State: | CA |
| Postal Code: | 959672704 |
| Phone Number: | 5308724852 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | RI-F0602090827 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |