Michelle Marie Faulkner
Peer Specialist in Stillwater, OK. Individual provider (NPI-1).
NPI number1164027249
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1164027249
- Entity type
- Individual (NPI-1)
- Name
- Michelle Marie Faulkner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2020
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1624 Cimarron PlzStillwater, OK 74075-3467
Phone 539-900-3009
Mailing address
1624 Cimarron PlzStillwater, OK 74075-3467
Phone 539-900-3009
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