Amanda Jeanette Faulkner
Counselor in Salem, OR. Individual provider (NPI-1).
NPI number1124500350
StatusActive
Last updated in NPPESSep 4, 2018
Details
- NPI
- 1124500350
- Entity type
- Individual (NPI-1)
- Name
- Amanda Jeanette Faulkner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2018
- Last updated
- Sep 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2645 Portland Rd Ne Ste 120Salem, OR 97301-0200
Phone 503-390-5637
Mailing address
2645 Portland Rd Ne Ste 120Salem, OR 97301-0200
Other practice locations
4177 Market St Ne Apt D
Salem, OR 97301-2054
Salem, OR 97301-2054
Phone 971-336-7406
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