Doctor Name: | MS. DEBORAH JUNE FAULKNER |
NPI Number: | 1700086931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RASAC II |
License Number: | 2973 |
Business Practice Address: | Hwy J North Hayti Hayti, MO - 63851 |
Business Phone Number: | 5733592600 |
Business Fax Number: | 5733591103 |
Mailing Address: | Po Box 441, Hayti HAYTI |
State: | MO |
Postal Code: | 638510441 |
Phone Number: | 5733592600 |
Fax Number: | 5733591103 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |