Jillian Faulkner Counseling Services Llc | |
2100 N Broadway Ave Ada OK 74820-1048 | |
(580) 310-4336 | |
Not Available |
Full Name | Jillian Faulkner Counseling Services Llc |
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Speciality | Counselor - Professional |
Location | 2100 N Broadway Ave, Ada, Oklahoma |
Authorized Official Name and Position | Jillian Faulkner (PRESIDENT) |
Authorized Official Contact | 5803104336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jillian Faulkner Counseling Services Llc 2100 N Broadway Ave Ada OK 74820-1048 Ph: () - | Jillian Faulkner Counseling Services Llc 2100 N Broadway Ave Ada OK 74820-1048 Ph: (580) 310-4336 |
NPI Number | 1023462363 |
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Provider Enumeration Date | 04/22/2016 |
Last Update Date | 04/22/2016 |
Identifier | Type | State | Issuer |
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1023462363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 5324 (Oklahoma) | Primary |
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