Individual provider · Type 1 NPI
Eboni Nicole Faulkner
Mental Health Counselor · Port Chester, NY
NPI number
1124653449
Active
Practice location
19 Olivia St
Port Chester, NY 10573-4877
Mailing address
7087 Littlebrook Way
Douglasville, GA 30134-7066
Other practice locations
- 7087 Littlebrook Way, Douglasville, GA 30134-7066 · (914) 506-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 014494 (NY) |
| Mental Health Counselor | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124653449
Eboni Nicole Faulkner's National Provider Identifier is 1124653449, issued on Mar 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Chester, NY. The record was last updated on Aug 25, 2024.