| Doctor Name: | MS. REBECCA ANN FAULK |
| NPI Number: | 1598740862 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED., CRC, LPC |
| License Number: | PC000856 |
| Business Practice Address: | 117 Juniper Ln Ligonier Valley Learning Center Inc Ligonier, PA - 156589727 |
| Business Phone Number: | 7242385556 |
| Business Fax Number: | 7242389533 |
| Mailing Address: | 109 S Market St, Ligonier Valley Learning Center Inc LIGONIER |
| State: | PA |
| Postal Code: | 156581214 |
| Phone Number: | 7242380355 |
| Fax Number: | 7242380352 |
| NPI Enumeration Date: | 12/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC000856 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |